W9124D-16-T-0084_Amendment_0001.pdf

0010866398

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

amendment corrects the acquisition catetogory in block 10 and page 3.

1. The requirement is changed from unrestricted to 100% small business set-aside.

2. All other terms and conditions of the solicitation 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 19-Sep-2016

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 W9124D-16-T-0084

X 9B. DATED (SEE ITEM 11)

15-Sep-2016

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

19-Sep-2016

CODE

MISSION AND INSTALLATION CONTRACTING CMD

MICC FORT KNOX

BLDG 1109B STE 373

199 6TH AVE

FORT KNOX KY 40121-5720

W9124D 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W9124D-16-T-0084

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

DUNS NUMBER: _______________________________

CAGE CODE: _______________________________

TAX ID NUMBER: _______________________________

PHONE NUMBER: ________________________________

NAME OF PERSON QUOTING: ________________________________

FAX NUMBER: ________________________________

E-MAIL ADDRESS: _________________________________

PAYMENT TERMS:

1. All contractors shall be registered in the System for Award Management (SAM) to be eligible for award of a contract. Contractors shall ensure SAM registration is active and shall not assume that CCR information automatically migrated to the SAM system. The official SAM website is https://www.sam.gov/portal/public/SAM/.

2. Questions concerning this request for quote must be submitted in writing and shalll be emailed to richard.d.dalton.civ@mail.mil or call (502) 624-3853, no later than 10:00 a.m. on 19 September 2016

3. Facsimile quotes and amendments will not be accepted.

4. Quotes will be submitted by e-mail to the contract specialist at richard.d.dalton.civ@mail.mil. All quotes shall be submitted to the MICC FT Knox point of contact no later than the date and time specified for receipt (SEE Box 8) on the SF 1449, or the latest issued Amendment. Only send those pages for the SF1449 containing requested information.

5.. All amendments will be emailed, if applicable. Contractor shall acknowledge amendments, as required.

6. Quote shall contain the following:

-Completed and signed page 1 of the solicitation (SF 1449) -Completed page 3 of the solicitation (Continuation Sheet) -Completed pricing schedule for all CLIN(s) -Complete all representations and certifications included herein.

-Complete 52.209-11, Unpaid Delinquent Tax Liability/Federal Conviction Form.

-Acknowledge amendments, if applicable -*100% small business set-aside solicitation*

7. Contractors shall submit all unit prices to the whole penny. Any fractions will be rounded to the next higher whole penny per unit for evaluations and award purposes.

W9124D-16-T-0084

8. Award will be made in the aggregate to the lowest priced, responsive, responsible offeror. Failure to submit a price on all items will render the quote non-responsive.

9. Base Year Total CLINS 0001-0032 $____________ Option Period One CLINS 1001-1031 $____________ Total Base Year and Option Period One $____________

The following have been deleted:

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The set aside percentage 100.00% has been added.

The Acquisition Set Aside has changed from No Preference / Not Listed to Small Business.

(End of Summary of Changes)