B3_AMD_0001.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

The purpose of this amendment is to correct the delivery and performance address for the FY-17 Tow n Bluff Potable Water Testing Services. The address should read as follow s:

TOWN BLUFF PROJECT OFFICE

FLOYD BOYETT

890 FM 92

WOODVILLE TX 75979-9631

TEL: 409-429-3491 FAX: 409-429-3188

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-Nov-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 W9126G-17-T-0012

X 9B. DATED (SEE ITEM 11)

18-Nov-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

18-Nov-2016

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:

W9126G-17-T-0012

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 01-JAN-2017 TO

31-DEC-2017

N/A SAM RAYBURN PROJECT OFC

CESWF-OD-SR

7696 RR 255 WEST

JASPER TX 75951

409 384-5716 FOB: Destination

967448

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 01-JAN-2017 TO

31-DEC-2017

N/A TOWN BLUFF PROJECT OFFICE

FLOYD BOYETT

890 FM 92

WOODVILLE TX 75979-9631

409-429-3491

967423

The following Delivery Schedule item for CLIN 0002 has been changed from:

POP 01-JAN-2018 TO

31-DEC-2018

N/A SAM RAYBURN PROJECT OFC

CESWF-OD-SR

7696 RR 255 WEST

JASPER TX 75951

409 384-5716

POP 01-JAN-2018 TO

31-DEC-2018

N/A TOWN BLUFF PROJECT OFFICE

FLOYD BOYETT

890 FM 92

WOODVILLE TX 75979-9631

409-429-3491

W9126G-17-T-0012

The following Delivery Schedule item for CLIN 0003 has been changed from:

POP 01-JAN-2019 TO

31-DEC-2019

N/A SAM RAYBURN PROJECT OFC

CESWF-OD-SR

7696 RR 255 WEST

JASPER TX 75951

409 384-5716

POP 01-JAN-2019 TO

31-DEC-2019

N/A TOWN BLUFF PROJECT OFFICE

FLOYD BOYETT

890 FM 92

WOODVILLE TX 75979-9631

409-429-3491

(End of Summary of Changes)