Amd 4 09-R-2020.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

COMPETITIVE RFP FOR HUBZONE SET-ASIDE INDEFINITE DELIVERY/INDEFINITE QUANTITY (IDIQ) , SINGLE AWARD TASK ORDER (SATOC) CONTRACT FOR ENVIRONMENTAL SERVICES IN SUPPORT OF VARIOUS MILITARY/CIVIL WORKS AND INTERNATIONAL AND INTERAGENCY (IIS) PROJECTS WITHIN SOUTHWEST DIVISION (SWD) BOUNDARIES AND FOR TULSA DISTRICT CUSTOMERS AND

CUSTOMERS AS APPROVED IN ACCORDANCE WITH EFAR SUBPART 7.1 AND ER 5-1-11

This amendment is issued to add the past performance questionaire that w as inadvertently left out in Section L.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 30-Jul-2009

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 W912BV-09-R-2020

X 9B. DATED (SEE ITEM 11)

01-Jul-2009

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 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

30-Jul-2009

CODE

CONTRACTING DIV

USAED, TULSA 1645 S 101 E AVE

TULSA OK 74128-4609

W912BV 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912BV-09-R-2020

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

ATTACHMENT #8, PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE QUESTIONNAIRE FOR SOLICITATION W912BV-09-R-2020

I. CONTRACT INFORMATION: (to be filled out by offeror.)

A. Contractor: _______________________________________________________

B. Contractor Address: ________________________________________________

C. Contract Number: __________________________

D. Status: Active _____ Completed _____

E. Contract Amount: $________________________

F. Period of Performance: ______________________

G. Services Provided (Explain in detail the type of services provided by the contractor):

II. RESPONDENT IDENTIFICATION (****NOT TO BE RELEASED OUTSIDE GOVERNMENT

CHANNELS****)

A. Name: _______________________________________________________________

B. Position and Title: _____________________________________________________

C. Phone Number: _______________________________________________________

D. Address: ____________________________________________________________

E. Relationship and Time involved with Contractor:

F. Date questionnaire was completed: _______________________________________

Note: Once Offerors have completed Part I Contract Information, e-mail the Questionnaire to the following e-mail address: [Diane.Cianci@us.army.mil]. The Contracting Officer will contact the contract respondent and complete the form by interview or correspondence.

CONTRACTOR RATING

1. In this section of the questionnaire you are asked to rate the contractor. Please indicate the rating that best applies. If you wish to elaborate on any of your answers, please provide comments at the end of this section. If more space is needed, continue your comments on a separate sheet of paper and attach it to this questionnaire prior to submission. 2. You are urged to supplement your own knowledge of the contractor’s performance with the judgment of others in your organization. Any marginal ratings should be supplemented with an explanatory narrative in the remarks block of this survey 3. ONCE COMPLETED, THIS SURVEY WILL BE CONSIDERED SOURCE SELECTION SENSITIVE IN ACCORDANCE WITH FAR PART 3.104 4. The following definitions are applicable rating levels for the contractor’s performance:

(5) Exceptional/High Confidence

(4) Very Good/Significant Confidence

(3) Satisfactory/Confidence

(N) Neutral/Unknown Confidence (No performance record identifiable)

(2) Marginal/Little Confidence

(1) Unsatisfactory/No Confidence

CONTRACTOR’S RESPONSIVENESS

1. Rate the contractor’s ability to meet specific response times and completion dates. 5 4 3 N 2 1 Yes or No (explain)

2. Rate the timeliness of contractor’s response to emergency situations/requirements. 5 4 3 N 2 1

3. To what extent did the contractor provide reliable, supportable cost estimates? 5 4 3 N 2 1

QUALITY CONTROL AND WORKMANSHIP

1. Rate the contractor’s overall responsiveness in terms of quality and workmanship. 5 4 3 N 2 1

CUSTOMER SATISFACTION

1. To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer? 5 4 3 N 2 1

CONTRACTOR MANAGEMENT

1. Rate the working relationship between the contractor, your company and your designated representative (to include inspection personnel) . 5 4 3 N 2 1

2. Rate the contractor’s ability to meet staffing/manning levels with qualified personnel

3. Managing spare parts and inventory availability.

5 4 3 N 2 1 5 4 3 N 2 1

4. How effective was on-site management, including management of subcontractors? 5 4 3 N 2 1

5. How knowledgeable were key personnel of the contract requirements? 5 4 3 N 2 1

6. Rate the contractor’s ability to identify and correct, and prevent potential contractual problems early, and advise before the problem becomes a delay or life-threatening situation. 5 4 3 N 2 1

COMPLIANCE WITH ENVIRONMENTAL /SAFETY AND SECURITY

1. Rate the contractor’s compliance with environmental, safety, and security requirements. 5 4 3 N 2 1

CONTRACTUAL OBLIGATIONS

1. Has a cure notice or show cause notice ever been issued? 5 4 3 N 2 1

2. To what extent did the contractor submit required reports and documentation timely and accurate? 5 4 3 N 2 1

3. Would you hire this contractor again? Highly likely--, Likely--, Unlikely--, Highly Unlikely HL L U HU

ADDITIONAL COMMENTS - Please provide any objective comments/additional information for this contract or on any other contracts performed by the contractor that may be of interest:

(End of Summary of Changes)