W911S8-22-R-0025 0001.pdf

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JBLM Kitchen Hoods Cleaning Services
Solicitation number
W911S8-22-R-0025
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0011858084-0001

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 Modif ication Continuation Page POC: Alex Vicente Phone : (253) 966-3518 Email: alexander.vicente.civ@army.mil

1. CONTRACT ID CODE PAGE OF PAGES

1 4

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

16C. DATE SIGNED

BY

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)

9B. DATED (SEE ITEM 11)

X W911S822F0386

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

01-Oct-2022

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer 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 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) See Schedule

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

X

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:

52.212-4(c) D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 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

21-Oct-2022

CODE

MICC-JB LEWIS-MCCHORD

BUILDING 2015

JOINT BASE LEWIS-MCCHORD WA 98433-9500

W911S8 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

ACUITY-EXEMPLAR JV

MARIA ESTHER CHAMBERLAIN

2508 HILLROSE PL

OXNARD CA 93036-1574

FACILITY CODE7Y3U8CODE

EMAIL:TEL:

Modification Control Number: av11s823180

W911S820D0009 W911S822F0386 (av11s823180)

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

a. The purpose of this modification is to add Fiscal Year 2023 funding to task order W911S8-22-F-0386, which was not available when this task order was awarded Subject to the Availability of Funds on 29 September 2022.

b. As a result of this modification, the total funded amount for this task order was increased by $8,007.26 from $0.00 to $8,007.26

c. Summary of Changes is below.

d. This modification is considered within the scope of the original intent of the contract. All other terms and conditions remain unchanged.

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

ACCOUNTING AND APPROPRIATION

Summary for the Payment Office

As a result of this modification, the total funded amount for this document was increased by $8,007.26 from $0.00 to $8,007.26.

SUBCLIN 2001AB:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400001) was increased by $1,807.52 from $0.00 to $1,807.52

The contract ACRN AA has been added.

The CIN GFEBS001185808400001 has been added.

The Cost Code A60RK has been added.

CLIN 2011:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400002) was increased by $1,829.60 from $0.00 to $1,829.60

The contract ACRN AA has been added.

The CIN GFEBS001185808400002 has been added.

The Cost Code A60RK has been added.

CLIN 2012:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400003) was increased by $254.10 from $0.00 to $254.10

The contract ACRN AA has been added.

The CIN GFEBS001185808400003 has been added.

The Cost Code A60RK has been added.

CLIN 2013:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400004) was increased by $228.69 from $0.00 to $228.69 The contract ACRN AA has been added.

The CIN GFEBS001185808400004 has been added.

The Cost Code A60RK has been added.

CLIN 2017:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400005) was increased by $1,016.00 from $0.00 to $1,016.00 The contract ACRN AA has been added.

The CIN GFEBS001185808400005 has been added.

The Cost Code A60RK has been added.

CLIN 2018:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400006) was increased by $635.25 from $0.00 to $635.25 The contract ACRN AA has been added.

The CIN GFEBS001185808400006 has been added.

The Cost Code A60RK has been added.

CLIN 2019:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400007) was increased by $762.30 from $0.00 to $762.30 The contract ACRN AA has been added.

The CIN GFEBS001185808400007 has been added.

The Cost Code A60RK has been added.

CLIN 2020:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400008) was increased by $965.60 from $0.00 to $965.60 The contract ACRN AA has been added.

The CIN GFEBS001185808400008 has been added.

The Cost Code A60RK has been added.

CLIN 2021:

AA: 0212023202320200000113131254 S.0082835.4.12.37.3.1 6100.9000021001 A60RK (CIN GFEBS001185808400009) was increased by $508.20 from $0.00 to $508.20 The contract ACRN AA has been added.

The CIN GFEBS001185808400009 has been added.

The Cost Code A60RK has been added.

The following have been deleted:

52.232-18 Availability Of Funds APR 1984

(End of Summary of Changes)

File details come from the government source that posted it. Updated .