W911S719R0006P0001.pdf

0011103954

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 update the TE in the PWS and to extend the solicitaiton response date to 3 April 2019.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 25-Mar-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) X W911S719R0006

X 9B. DATED (SEE ITEM 11)

28-Feb-2019

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 X 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 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

25-Mar-2019

CODE

MICC - FORT LEONARD WOOD

8112 NEBRASKA AVENUE

FORT LEONARD WOOD MO 65473

W911S7 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W911S719R0006

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 01-Apr-2019 10:00 AM to 03-Apr-2019 10:00 AM.

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

TECHNICAL EXHIBIT 5

Bldg System Type Manufacture

Date

Location Number of

Nozzles

Fryer

404 FM-200, Pyro Chem 343, 180 L, 576-576-340 2005 Server & Switch Rooms NA NA

406 FM-200, Fike Model #70-269, 1 Tank 10-2012 TELCO Vault Area NA NA

406 FM-200, Fike Model #70-271, 3 Tanks 10-2012 TELCO Room NA NA

406 FM-200, Fike Model #70-270, 1 Tank 10-2012 Data Room, Sub-Floor NA NA

406 FM-200, Fike Model #70-270, 2 Tanks 10-2012 Data Room NA NA

580 Ansul R-102 - 3.0 Gal Wet 2007 Kitchen 6 No

630 Pyro Chem, PCL-460-460 2003-2003 #1-Kitchen Hood 12 No

630 Pyro Chem, PCL-300 Wet 2002 #2-Kitchen Hood 4 No

630 Pyro Chem, PCL-300 Wet 2002 #3-Serving Line 3 No

630 Pyro Chem, PCL-300 Wet 2002 #4-Serving Line 3 No

653 Ansul R-102 - 9 Gal Wet 2012 #1-Main Kitchen 12 No

653 Pyro Chem, PCL-300 Wet 2002 Kitchen 4 No

653 Ansul R-102 - 1.5 Gal Wet 2012 #3-Serving Line 3 No

653 Ansul R-102 - 1.5 Gal Wet 2012 #4-Serving Line 3 No

754 Ansul R-102 - 3 Gal Wet 2013 #1-Kitchen 6 No

754 Ansul R-102 - 9 Gal Wet 2013 #2-Main Hood Kitchen 13 No

754 Ansul R-102 - 3 Gal Wet 2012 #3-Serving Line 5 No

754 Ansul R-102 - 3 Gal Wet 2012 #4-Serving Line 4 No

820 Ansul R102 - 3 Gal Wet 2011 #1-Kitchen 6 No

820 Ansul R102 - 9 Gal Wet 2011 #2- Main Hood 13 No

820 Pyro Chem, PCL-300 Wet 2002 #3-Serving Line 4 No

820 Pyro Chem, PCL-300 Wet 2004 #4-North Serving Line 4 No

836 Ansul R102 - 3 Gal Wet 2012 Kitchen 4 No

836 Pyro Chem, PCL-300 Wet 2004 North Serving Line 4 No

836 Pyro Chem, PCL-300 Wet 2004 South Serving Line 4 No

836 Ansul R102 - 9 Gal Wet 2012 Main Line 13 No

908 Ansul R102, 3 Gal 2014 Hood 1 - Serving Line 6 No

908 Ansul R102, 3 Gal 2014 Hood 2 - Serving Line 6 No

908 Ansul R102, 3 Gal 2014 Hood 3 - Serving Line 4 No

908 Ansul R102, 3 Gal 2014 Hood 4 - Serving Line 4 No

908 Ansul R102, 12 Gal 2014 Hood 1 - Kitchen 26 No

908 Ansul R102, 3 Gal 2014 Hood 2 - Kitchen 4 No

930 Ansul R102, 3.0 Gal (2 each) 2003 Hood #1-Kitchen 14 No

930 Ansul R102, 3 Gal 2003 Hood IA 6 No

930 Ansul R102, 6 Gal 2003 Hood #2 6 No

930 Ansul R102, 3 Gal 2002 Hood #3 3 No

930 Ansul R102, 3 Gal 2003 Hood #4/#5 7 No

930 Ansul R102, 3 Gal 2002 Hood #6 3 No

930 Ansul R102, 3 Gal 2003 Hood #7/8 7 No

1010 Ansul R102, 3 Gal 2014 Hood 1 - Serving Line 6 No

1010 Ansul R102, 3 Gal 2014 Hood 2 - Serving Line 6 No

1010 Ansul R102, 3 Gal 2014 Hood 3 - Serving Line 4 No

1010 Ansul R102, 3 Gal 2014 Hood 4 - Serving Line 4 No

1010 Ansul R102, 12 Gal 2014 Hood 1 - Kitchen 26 No

1010 Ansul R102, 3 Gal 2014 Hood 2 - Kitchen 4 No

1011 Pyro Chem, PCL-460-460 2009 Hood #1- Main Kitchen 14 No

1011 Pyro Chem, PCL-300 2009 Hood #2-Kitchen 4 No

1011 Ansul R102, 3 Gal 2012 Hood #3-Serving Line 4 No

1011 Ansul R102, 3 Gal 2012 Hood #4-Serving Line 4 No

1018A FM-200, Kidde, 152 lb. Communications Room NA NA

1018A FM-200, Kidde, 425 lb. Communications Room NA NA

1784 Ansul R102-3.0-3.0-3.0-3.0 Gal Wet 2011 Hood #1 Kitchen, Main 21 No

1784 Ansul R102-3.0 Gal Wet 2011 Hood #2 6 No

1784 Ansul R102-3.0 Gal Wet 2011 Hood #3, Serving lines 4 No

1784 Ansul R102-3.0 Gal Wet 2011 Hood #4, Serving lines 4 No

1784 Ansul R102-3.0 Gal Wet 2011 Hood #5, Serving lines 6 No

1784 Ansul R102-3.0 Gal Wet 2011 Hood #6, Serving lines 6 No

1792 Ansul R102, 12 Gal 2016 Hood 1 29 No

1792 Ansul R102, 1.5 Gal 2016 Hood 2 4 No

1792 Ansul R102, 3 Gal 2016 Hood 3 5 No

1792 Ansul R102, 3 Gal 2016 Hood 4 - Serving Line 5 No

1792 Ansul R102, 3 Gal 2016 Hood 5 - Serving Line 7 No

1792 Ansul R102, 3 Gal 2016 Hood 6 - Serving Line 7 No

2105 Ansul R102-7.5 Gal Wet 2012 Hood #1/#2, Kitchen 8 No

2105 Ansul R102-1.5 Gal Wet 2012 South Serving Line 1 No

2105 Ansul R102-1.5 Gal Wet 2012 North Serving Line 1 No

2114 FM 200, Keller, Agent, 124 lb. Communications Room NA NA

3201 FM 200, Pyro Chem 570009, 180 L, 372 lbs 2004 Room #051 NA NA

3205 FM-200, Kidde, 51.2 L Computer Room NA NA

3205 FM-200, Kidde, 425 L Computer Room NA NA

3223 Ansul R102-6 Gal Wet 2011 Main Kitchen 15 Yes

3223 Ansul R102-1.5 Gal Wet 2010 Serving Line 3 No

3223 Ansul R102-3 Gal Wet 2010 Serving Line 4 Yes

3223 Ansul R102-1.5 Gal Wet 2011 Serving Line 3 No

3223 Ansul R102-1.5 Gal Wet 2011 Serving Line 1 No

3223 Ansul R102-1.5 Gal Wet 2011 Serving Line 3 No

3223 Ansul R102-3 Gal Wet 2011 Serving Line 2 No

5266 Industrial System, Pyro Chem, PCI-25 lb. Dry 1997 Haz Mat Modular Unit NA NA

5282A FM-200, Kidde, 62 lb. Communications Room NA NA

6111 Ansul R102-15 Gal Wet 2009-2010 Hood #1-Kitchen 20 No

6111 Ansul R102-12 Gal Wet 2010 Hood #2-Kitchen 6 No

6111 Ansul R102-3 Gal Wet 2010 #3-Serving Line 4 No

6111 Ansul R102-6 Gal Wet 2010 #4-Serving Line 6 No

6111 Ansul R102-6 Gal Wet 2010 #5-Serving Line 6 No

6111 Ansul R102-3 Gal Wet 2010 #6-Serving Line 4 No

6111 Ansul R102-3 Gal Wet 2010 #7-Serving Line 4 No

6111 Ansul R102-6 Gal Wet 2010 #8-Upstairs 10 No

6111 Ansul R102-3 Gal Wet 2010 #9-Serving Line 4 No

6111 Ansul R102-6 Gal Wet 2010 #10-Serving Line 8 No

12629 FM-200, Kidde, 124 lb. Communications Room NA NA

(End of Summary of Changes)