W9124A-18-T-0004-0001.pdf

ACC-APG

LISA PADILLA

BLDG 22208

PN: 520-538-0395 FAX: 520-533-5157

FORT HUACHUCA AZ 85613

0011131047

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:

14.1 Submit a revised Propane Tank Inventory.

14.2 Provide a map of Fort Huachuca.

14.3 All other Terms and Conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 17-Jan-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 W9124A-18-T-0004

X 9B. DATED (SEE ITEM 11)

21-Dec-2017

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

16-Jan-2018

CODE

ACC-APG

GARRISON COMMERCIAL ACQUISITION

BUILDING 22208

FT HUACHUCA AZ 85613

W9124A 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W9124A

FACILITY CODECODE

EMAIL:TEL:

W9124A-18-T-0004

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

REVISED PROPANE INVENTORY

Attachment 1: Propane Tank Locations & Approximate Fill Frequency- Revised as of 16 January 2018

Name BLDG # Tank SN Size NOTES

Buffalo Corral 13554 C1921 1000 Fill: Approx. 1/year

EPG 16678 M1045905 500 ATF; Fill: Less than 1/year

EPG - NSM 12586 C1539 250 NSM – Near Site Maverick Red Force HW & Heat Fill: Approx. 1/year

Site Maverick 12584 996967 500 Fill: Less than 1/year

EPG – BTC 12508 C1920 1000 BTC – Black Tail Canyon Fill: Approx. 9/year

EPG – BTC 12508 C1944 1000 Fill: Approx. 9/year

West Gate 11510 C1536 500 Fill: Approx. 2/year Schedule change 2014

Black Tower 11666 5F000563 1000 UASTB Fill: Approx. 4/year

Black Tower 11666 5F000579 1000 UASTB Fill: Approx. 4/year

Black Tower 11660 C1922 1000 UASTB Fill: Approx. 2/year

Black Tower 11660 C1948 1000 UASTB Fill: Approx. 1/year

Laundry Ridge 13582 C1947 1000 EPG USAEPG-Radar Fill: Approx. 2/year

Laundry Ridge 13590 C1897 1000 EPG USAEPG Fill: Approx. 1/year

Name BLDG # Tank SN Size NOTES

East Gate 87001 7SG066764 250 DES Fill: Less than 1/year

Main Gate 90008 7SG066791 250 DES Fill: Less than 1/year

Fire Tower 57480 7SF017822 1000 Fire Dept.

Airfield Fill: Less than 1/year (Only for training)

Fire Tower 57480 7SF017823 1000 Fire Dept.

Airfield Fill: Less than 1/year (Only for training)

Fire Tower 57480 7SF019120 1000 Fire Dept.

Airfield Fill: Less than 1/year (Only for training)

Immigration & 71450 C1533 250 I&C - HSI Customs – HIS James Cobb 520-266-3959 Fill: Approx. 1/year

Sportsman Center 15423 C1894 1000 Post Fill: Approx. 3/year

Range 8 15366 9ET001529 250 Post Fill: Approx. 2/year

Two-Company 68328 7SF-057734 1000 Fire Dept.

Fire Station Fill: Less than 1/year

LS1 Effluent Pond` 15801 7SF048105 1000 Lift Station 1 Huachuca City Fill: Less than 1/year

LS2 Upper Huachuca 15770 7SF048109 1000 Lift Station 2 City Fill: Less than 1/year

LS3 SV Airport 93070 7SF048108 1000 Lift Station 3 Fill: Less than 1/year

HC Effluent 90735 7SF048107 1000 Lift Pump DB Detention Basin Fill: Less than 1/year

(End of Summary of Changes)