B3_Amd_01_Revised_Checklist_05Sep2017.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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

Amendment#01 is for the correction of the Checklist provided in the Solicitation. The revised Checklist indicates w hich items are REQUIRED to be included in all quote packages submitted. Please do not include information not requested in the solicitation.

OFFER DUE DATE/TIME REMAINS UNCHANGED: 11 SEPTEMBER 2017 2:00PM CST.

Point of Contact (POC): Jason S. Rinehart ((817) 886-1080, Jason.S.Rinehart@usace.army.mil or Daisy Ciarlariello (817) 886-1051, Daisy.Ciarlariello@usace.army.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 05-Sep-2017

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 W9126G17Q0020

X 9B. DATED (SEE ITEM 11)

11-Aug-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

05-Sep-2017

CODE

US ARMY ENGINEER DISTRICT, FORT WORTH

ATTN: CESWF-CT

819 TAYLOR ST, ROOM 2A17

FORT WORTH TX 76102-0300

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W9126G17Q0020

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

TABLE OF CONTENTS

The below Table of Contents has been added

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Revised Checklist

The following have been added by full text:

Amendment#01 is for the correction of the Checklist provided in the Solicitation. The revised Checklist indicates which items are REQUIRED to be included in all quote packages submitted. Please do not include information not requested in the solicitation.

OFFER DUE DATE/TIME REMAINS UNCHANGED: 11 SEPTEMBER 2017 2:00PM CST.

Point of Contact (POC): Jason S. Rinehart ((817) 886-1080, Jason.S.Rinehart@usace.army.mil or Daisy Ciarlariello (817) 886-1051, Daisy.Ciarlariello@usace.army.mil

Please see attachment – Revised Checklist

(End of Summary of Changes) mailto:Jason.S.Rinehart@usace.army.mil mailto:Daisy.Ciarlariello@usace.army.mil

W9126G17Q0020

Below is a checklist to assist you to ensure all the proper documents are returned for consideration on this solicitation. Only those items checked below as “required” must be returned

Required Contractor Item

Complete page 1 of Solicitation (SF 1449-Sign and date in block 30).

Complete Bid Schedule(s) Solicitation

Complete Contractor Information Sheet below: Include your SSN or firm’s Tax ID Number (TIN) and active email address.

You may be notified of your selection by this method!!!

Offerors shall complete ORCA profile on line in SAMS:

Clause 52.212-3 (Section K- Representation, Certifications and Other Statements of Offerors), paragraph (b) of solicitation AND submit complete ORCA profile.

Offerors shall submit an active SAM registration (Attach first page).

The System for Award Management (SAM) is the Official U.S. Government system that consolidated the capabilities of CCR/FedReg, ORCA and EPLS. Website: www.sam.gov

Ensure NAICS Code 561720 is in your SAMs Reps and Certs

EMAIL Past Performance Questionnaire to a former employer or person who can vouch for your work capability or volunteer work.

Ensure former employer return the form and references the solicitation number in the email subject line. CIV-OPS.Proposals@usace.army.mil Cc: Jason.s.rinehart@usace.army.mil

Scan all documents into a single.pdf file. (For Help contact your local Library, copy centers or PTACs-http://www.aptac-us.org/new/

EMAIL your proposal to: CIV-OPS.Proposals@usace.army.mil Cc: Jason.s.rinehart@usace.army.mil Subject line of email: Include the solicitation number and your name

Amd#01

X

X

X

X

X

X

X

X

X

Amd#01

This also applies to any/all amendments to the solicitation.