W912CN-21-Q-0045 Amendment 0004.pdf

0011660053

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 0004 issued to adjust the POP dates and extend the offer due date and change the acquisition to unrestricted.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 8

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

16C. DATE SIGNED

BY 15-Sep-2021

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 W912CN21Q0045

X 9B. DATED (SEE ITEM 11)

19-Aug-2021

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 X 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 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

15-Sep-2021

CODE

413 CSB

413TH CSB, RCO-HAWAII,

742 SANTOS DUMONT AVENUE

BLDG 108, 3RD FLOOR (WAAF)

SCHOFIELD BARRACKS HI 96857-5026

W912CN 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912CN21Q0045

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The set aside percentage 100.00% has been deleted.

The required response date/time has changed from 14-Sep-2021 10:00 AM to 20-Sep-2021 10:00 AM.

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

SUPPLIES OR SERVICES AND PRICES

CLIN 4002

The PSC code 7B22 has been added.

The PROG code S10 has been added.

The WSC Equipment code 000 has been added.

The NAICS code 334111 has been added.

The MDAP/MAIS Code 000 has been added.

DELIVERIES AND PERFORMANCE

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

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 25-SEP-2021 TO

24-SEP-2022

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082 FOB: Destination

WX3JN3

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 27-SEP-2021 TO

26-SEP-2022

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

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

CAGE

POP 25-SEP-2021 TO

24-SEP-2022

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2021 TO

26-SEP-2022

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

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

CAGE

POP 25-SEP-2021 TO

24-SEP-2022

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2021 TO

26-SEP-2022

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 1001 has been changed from:

CAGE

POP 25-SEP-2022 TO

23-SEP-2023

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 1002 has been changed from:

CAGE

POP 25-SEP-2022 TO

23-SEP-2023

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 2001 has been changed from:

CAGE

POP 25-SEP-2023 TO

24-SEP-2024

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2023 TO

26-SEP-2024

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 2002 has been changed from:

POP 25-SEP-2023 TO

24-SEP-2024

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2023 TO

26-SEP-2024

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 3001 has been changed from:

CAGE

POP 25-SEP-2024 TO

24-SEP-2025

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2024 TO

26-SEP-2025

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 3002 has been changed from:

CAGE

POP 25-SEP-2024 TO

24-SEP-2025

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2024 TO

26-SEP-2025

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 4001 has been changed from:

CAGE

POP 25-SEP-2025 TO

24-SEP-2026

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

POP 27-SEP-2025 TO

26-SEP-2026

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

The following Delivery Schedule item for CLIN 4002 has been changed from:

CAGE

POP 25-SEP-2025 TO

24-SEP-2026

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

CAGE

POP 27-SEP-2025 TO

26-SEP-2026

N/A US ARMY GARRISON HI DIR OF PUB

WKS DPW

SPENCER LARSON

BLDG 105 948 SANTOS DUMONT AVE

WAAF PLA

SCHOFIELD BARRACKS HI 96857-5013

808-6563082

INSPECTION AND ACCEPTANCE

The Acceptance/Inspection Schedule for CLIN 4002 has been changed from:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

N/A N/A N/A Government

To:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

(End of Summary of Changes)