W91249-18-T-00070001.pdf

MICC - FORT GORDON

CHERYL C. PARKS 706-791-1808

BASOPS DIV

CHERYL.C.PARKS.CIV@MAIL.MIL

FT GORDON GA 30905-5719

0011146344

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:

a. Changes Aquafina Splash, Sports Drinks and Water to 20 oz.

b. Line Items 0002 and 1002, Aquafina Splash are changed from 12L to 20 oz.

c. Line Items 0004 and 1004, Sports Drinks are changed from 24L to 20 oz.

d. Line Items 0007 and 1007, Water, are changes from 24L to 20 oz.

e. All other elements remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 18-Jun-2018

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 W9124918T0007

X 9B. DATED (SEE ITEM 11)

14-Jun-2018

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

18-Jun-2018

CODE

MICC - FORT GORDON

271 HERITAGE PARK LANE

BLDG. 35200

FT GORDON GA 30905

W91249 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W91249

FACILITY CODECODE

EMAIL:TEL:

W9124918T0007

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN description has changed from 20oz Tea to 20oz. Tea.

The CLIN extended description has changed from:

20oz Tea (All Teas), such as but not limited to Lipton, Snapple, Arizona.

To:

20oz. Tea (All Teas), such as but not limited to Lipton, Snapple, Arizona.

CLIN 0002

The CLIN description has changed from 12L Aquafina Splash to 20oz. - Aquafina Splash.

12L Aquafina Splash

20oz. Aquafina Splash

CLIN 0003

The CLIN description has changed from 20oz Corp CSD (All Carbonated) to 20oz. Corp CSD (All Carbonated).

CLIN 0004

The CLIN description has changed from 24L Sports Drinks to 20oz. Sports Drinks.

CLIN 0005

The CLIN description has changed from 23.7oz Life water to 23.7oz. Life water.

W9124918T0007

CLIN 0007

The CLIN description has changed from 24L Water to 20oz. Water.

CLIN 1001

The CLIN description has changed from 20oz Tea (OY 1) to 20oz. Tea (OY 1).

20oz Tea (All Teas), such as but not limited to Lipton, Snapple, Arizona

20oz. Tea (All Teas), such as but not limited to Lipton, Snapple, Arizona

CLIN 1002

The CLIN description has changed from 12L Aquafina Splash (OY 1) to 20oz. Aquafina Splash (OY 1).

CLIN 1003

The CLIN description has changed from 20oz Corp CSD Total (OY 1) to 20oz. Corp CSD Total (OY 1).

CLIN 1004

The CLIN description has changed from 24L Sports Drink (OY 1) to 20oz. Sports Drink (OY 1).

CLIN 1005

The CLIN description has changed from 23.7oz Life Water Total (OY 1) to 23.7oz. Life Water Total (OY 1).

CLIN 1007

The CLIN description has changed from 24L Water (OY 1) to 20oz. Water (OY 1).

(End of Summary of Changes)