B3_Solicitiation_W9126G-12-R-0043-0010.pdf

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)

30-105-04 EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

THIS IS A POST CLOSING AMENDMENT FOR MULTIPLE AWARD TASK ORDER CONTRACT (MATOC) for SWD 8(a) CONSTRUCTION

SERVICES:

REVISED PROPOSALS WILL NOT BE ACCEPTED

See SF30 Continuation Sheet(s)

NOTE: Pre-award Questionnaire is due on 28 Aug 2013, at 12:00 p.m. Central Daylight Time .

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY

16B. UNITED STATES OF AMERICA 15C. DATE SIGNED 15B. 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 9A. AMENDMENT OF SOLICITATION NO.

W9126G-12-R-0043

X 9B. DATED (SEE ITEM 11)

22-Aug-2012

10B. DATED (SEE ITEM 13)

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, 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)

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

27-Aug-2013

CODE

US ARMY ENGINEER DISTRICT, FORT WORTH

ATTN: CESWF-CT

819 TAYLOR ST, ROOM 2A19

P.O. BOX 17300

FORT WORTH TX 76102-0300

W9126G 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODE CODE

EMAIL: TEL:

M2CTCARP

Typewritten Text

M2CTCARP

Typewritten Text

M2CTCARP

Typewritten Text

M2CTCARP

Typewritten Text X

W9126G-12-R-0043

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

1. The following pages have been added:

• VOLUME 2 - PRICE AND OTHER REQUIRED INFORMATION

TAB C - REQUIRED PRE-AWARD INFORMATION

Complete the attached PRE-AWARD QUESTIONNAIRE

End of Summary of Changes

M2CTCARP

M2CTCARP

PRE-AWARD QUESTIONNAIRE

FIRM NAME, ADDRESS & TELEPHONE RFP No. _______________________ CAGE No. _______________________

TYPE OF BUSINESS:

Individual Partnership LLC Joint Venture Corporation in the State of ______________________

SIZE: Small (Average gross receipt for the past 3 years is less than or equal to $33.5M) Large

1. Financial Ability: Please attach a certified current balance sheet and latest profit and loss statement signed by an officer of the company. The last financial statement will be acceptable if it is less than 6 months old.

Dun & Bradstreet Rating _________ Thomas Register Rating __________

2. Ability to comply with required delivery; List current work with the expected completion date, dollar value, firm/agency, point of contact, and telephone.

3. Reputation and Integrity:

Name POC Telephone No.

Bank:

Subcontractor:

Other:

4. Conforming to the requirements of the standard nondiscrimination clause: (Describe how this is accomplished.)

5. Qualification for award under current laws and regulations:

6. Necessary capability to perform: (Describe technical capability.)

7. Equipment and facilities:

8. Performance and Payment Bonds: (Required)

9. List all pending lawsuits or unsatisfied judgments against your firm, the nature of same and Court where filed or adjudicated. Lawsuits or judgments where full payment will be made or are covered by your insurance are not to be included.

9. List all pending contract claims. State nature of claim, amount, and approximate date filed.

Signed:____________________________________

Typed/Printed Name:____________________________________ Title:____________________________________ Date:_________________

Preawardquest.forms/28Jul99