W912DR-17-T-0031-0003_Solicitation_Amendment.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 provide the mandatory source of supply in compliance w ith FAR Clause 52.208-9 "Contractor Use of Mandatory Sources of Supply or services (May 2014)". All other terms remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

1 2

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

16C. DATE SIGNED

BY 17-Feb-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 W912DR-17-T-0031

X 9B. DATED (SEE ITEM 11)

01-Feb-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

17-Feb-2017

CODE

U.S. ARMY CORPS OF ENGINEERS, BALTIMORE

10 S. HOWARD STREET

ROOM 7000

BALTIMORE MD 21201

W912DR 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912DR-17-T-0031

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

(End of Summary of Changes)

52.208-9 Contractor Use of Mandatory Sources of Supply

EASY

TO SERVICE

BUILT

TO LAST

GOJO® SKILCRAFT PRODUCT

AVAILABLE THROUGH BASE SUPPLY

CENTERS OR AUTHORIZED

ABILITYONE® DISTRIBUTORS

Hand soap is mandatory under FAR Clause 52.208-9

Certain supplies to be provided under this contract for use by the Government are required by law to be obtained from nonprofit agencies participating in the program operated by the Committee for Purchase From People Who Are Blind or Severely Disabled (the Committee) under the Javits-Wagner-O’Day Act (41 U.S.C.48). Additionally, certain of these supplies are available from the Defense Logistics Agency (DLA), the General Services Administration (GSA), or the Department of Veterans Affairs (VA). The Contractor shall obtain mandatory supplies or services to be provided for Government use under this contract from the specific sources indicated in the contract schedule.

Use of U.S. Department of Defense (DoD) visual information does not imply or constitute DoD endorsement.

Distributed by:

PRODUCT CERTIFIED FOR

REDUCED ENVIRONMENTAL

IMPACT. VIEW SPECIFIC

ATTRIBUTES EVALUATED:

UL.COM/EL

UL 2783

UL 2784

PRODUCTS HAVE BEEN

DESIGNATED AS USDA

CERTIFIED BIOBASED

PRODUCTS.

PRODUCT65-91%

U.S. Air Force Dispenser

U.S. Army Dispenser

U.S. Coast Guard Dispenser

U.S. Marine Corps Dispenser

U.S. Navy Dispenser

©2016. GOJO Industries, Inc. All rights reserved. • #17448 GOJO

EASY TO SERVICE

BUILT TO LAST

1200 ml Green Certified Hand Sanitizer

1200 ml Skin Nourishing Hand Sanitizer

PURELL®

Dispenser

PRODUCT ORDER INFORMATION Size NSN UOM

Foam Soap

GOJO® SKILCRAFT® Citrus Ginger Foam Hand & Showerwash 1250 ml 8520-01-640-6481 3/cs

GOJO SKILCRAFT Antibacterial Plum Foam Handwash 1250 ml 8520-01-640-7213 3/cs

GOJO SKILCRAFT ADX-12™ Dispenser 1250 ml 4510-00-NIB-0046 1/ea

GOJO SKILCRAFT ADX-12 Dispenser – Black Features U.S. AIR FORCE graphics 1250 ml 4510-00-NIB-0046-AF 1/ea

GOJO SKILCRAFT ADX-12 Dispenser – Black Features U.S. ARMY graphics 1250 ml 4510-00-NIB-0046-ARMY 1/ea

GOJO SKILCRAFT ADX-12 Dispenser – White Features U.S. COAST GUARD graphics 1250 ml 4510-00-NIB-0046-USCG 1/ea

GOJO SKILCRAFT ADX-12 Dispenser – Black Features U.S. MARINE CORPS graphics 1250 ml 4510-00-NIB-0046-USMC 1/ea

GOJO SKILCRAFT ADX-12 Dispenser – Black Features U.S. NAVY graphics 1250 ml 4510-00-NIB-0046-NAVY 1/ea

Hand Sanitizer

PURELL SKILCRAFT ADX-12 Dispenser – White 1200 ml 4510-00-NIB-0045 1/ea

PURELL SKILCRAFT Advanced Skin Nourishing Instant Hand Sanitizer Foam 1200 ml 8520-01-640-9622 3/cs

PURELL SKILCRAFT Advanced Green Certified Instant Hand Sanitizer Foam 1200 ml 8520-01-640-6482 3/cs

PURELL SKILCRAFT SF607 Hand Sanitizer Foam 1200 ml 8520-00-NIB-0144 3/cs

Distributed by:

For more information, please contact:

Austin Lighthouse for the Blind 2307 Business Center Drive Austin, TX 78744 Phone: 512-442-2329 Toll Free: 888-217-7232 E-Mail: sales@austinlighthouse.org