Airforce_8_Amendment_2.pdf

DIRECTORATE OF CONTRACTING - HNC

ATTN: ADAM HUMPHREY

256-895-1326

HUNTSVILLE AL 35816

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

Airforce Phase 8:

The purpose of this Amendment is to add Attachments 4 (Pricing Worksheet) and Attachment 5 (Past Performance Questionaire).

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY

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 W912DY-17-R-0002

X 9B. DATED (SEE ITEM 11)

24-Mar-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.

U0002

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

29-Mar-2017

CODE

US ARMY ENGINEERING & SUPPORT CENTER

HUNTSVILLE ENGINEERING & SUPPORT CENTER

P.O. BOX 1600

HUNTSVILLE AL 35807-4301

W912DY 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W912DY

FACILITY CODECODE

EMAIL:TEL:

W912DY-17-R-0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

(End of Summary of Changes)

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

Prime Contractor SO Fee -$ -$ -$ -$ -$ -$ Prime Contractor Emergency Fee -$ -$ -$ -$ -$ -$ Subcontractor Fee/Markup -$ -$ -$ -$ -$ -$

FEES

TOTALS:

TOTALS:

CLIN 0001 - QUARTERLY RECURRING MAINTENANCE

CLIN 0002 - SEMI ANNUAL RECURRING MAINTENANCE

TOTALS:

TOTALS:

CLIN 0003 - ANNUAL RECURRING MAINTENANCE

CLIN 0004 - MINOR REPAIRS

NO PRICING NECESSARY AT PROPOSAL TIME

CLIN 0005 CONTRACT DATA REQUIREMENTS LISTS (CDRSs)

CLIN 0006 CONTRACTOR MANPOWER REPORTING (CMR)

CLIN 0007 - SITE MAP AND PETROLEUM SYSTEM SCHEMATIC

TOTALS:

TOTALS:

Site BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

TOTALS: -$ -$ -$ -$ -$ -$

CLIN 0001 - QUARTERLY RECURRING MAINTENANCE

TOTALS: -$ -$ -$ -$ -$ -$

CLIN 0002 - SEMI ANNUAL RECURRING MAINTENANCE

TOTALS: -$ -$ -$ -$ -$ -$

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

BASE YR OPT 1 OPT 2 OPT 3 OPT 4 6 Month Extension

CLIN 0003 - ANNUAL RECURRING MAINTENANCE

CLIN 0005 CONTRACT DATA REQUIREMENTS LISTS (CDRSs)

CLIN 0006 CONTRACTOR MANPOWER REPORTING (CMR)

CLIN 0006 TOTAL:

CLIN 0005 TOTAL:

TOTALS: -$ -$ -$ -$ -$ -$

CLIN 0007 - SITE MAP AND PETROLEUM SYSTEM SCHEMATIC

Burdened Unburdened Burdened Unburdened Burdened Unburdened Burdened Unburdened Burdened Unburdened Burdened Unburdened Program Manager -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Project Manager -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Project Manager - Jr -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ QC/Safety Manager -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Service Order Manager -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Project Engineer -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Project Engineer - Jr -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Project Scheduler -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Project Coordinator -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Contract Admin Specialist -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Estimator -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Drafter - CAD -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Site Safety and Health Officer -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Safety Competent/Qualified person -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Superintendent -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Foreman -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Team Leader -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Fuel Maintenance Technician -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Electrician - Journeyman -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Electrician - Master -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Laborer -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Mechanic -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Painter -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Pipe fitter -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Pipe Fitter Journeyman -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ NACE Inspector -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Welder -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Rigger -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Quality Control Inspector -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Site Manager -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$

6 Month ExtensionAward year Option 1 Option 2 Option 3

LABOR RATES

Option 4

ALL LABOR CATEGORIES PLANNED TO BE UTILIZED

SHALL BE INPUT HERE.

ATTACH MORE SHEETS IF NECESSARY

SITE NAME PRIME LABOR SUB LABOR TRAVEL MATERIAL EQUIPMENT Total

CLIN 0001 - QUARTERLY RECURRING MAINTENANCE

Provide one sheet for base and one for each option year:

TOTALS: -$ -$ -$ -$ -$ -$

CLIN 0002 - QUARTERLY RECURRING MAINTENANCE

TOTALS: -$ -$ -$ -$ -$ -$

CLIN 0003 - ANNUAL RECURRING MAINTENANCE

TOTALS: -$ -$ -$ -$ -$ -$

TOTALS: -$ -$ -$ -$ -$ -$

CLIN 0007 - SITE MAP AND PETROLEUM SYSTEM SCHEMATIC

PAST PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE (PPQ)

W912DY-17-R-0002 RFP – Airforce Phase 7 RM&MR

RFP NO: W912DY-17-R-0002

DESCRIPTION: DLA-Energy Petroleum Facilities Recurring Maintenance and Minor/Emergency Repairs for Airforce Phase 7

NOTE: Offeror shall incorporate into the past performance section of the proposal, page one (1) of each PPQ sent to evaluators. In the event that an evaluator does not return a completed PPQ, the Government will call to verify information provided on page one. The government does not anticipate calling evaluators that have returned a completed PPQ.

Evaluator, Please provide your candid responses. The information that you provide will be used in the awarding of a federal contract. Therefore, it is important that your information be as factual, accurate and complete as possible to preclude the need for follow-up by the evaluators.

PART I. (To be completed by the Offeror)

(1) Contractor Name:

(2) Contractor Address (Street, City and State):

(3) Contract Number:

Type of Contract: “C” Contract, ID/IQ task order, GSA order, Other (Specify):

Type of Pricing Arrangement: Fixed Price Cost Reimbursement Other (Specify):

(4) Prime Contractor (if different from the contractor name cited above):

(5) Title of Project:

(6) Description of Work:

(8) Location of Work:

(9) Date of Award: (mm/dd/yyyy)

(10) Status: Active Complete, Completion Date:

(11) Name, telephone number, and email address of Technical Representative:

PART II. EVALUATION (To be completed by the technical representative identified on line 11 – If unavailable, to be completed by a technical representative knowledgeable of the contractor’s responsibilities and performance.

(1) Please evaluate the contractor's performance regarding compliance with the statement of work:

Excellent

Good

Satisfactory

Marginal

Unsatisfactory

Remarks:

(2) Please evaluate the contractor's performance regarding overall technical expertise demonstrated.

Excellent

Good

Satisfactory

Marginal

Unsatisfactory

Remarks:

(3) COMPLIANCE WITH ADMINISTRATIVE CONTRACTUAL REQUIREMENTS

Please evaluate the contractor's performance regarding items such reporting, deliverables, etc.

Excellent

Good

Satisfactory

Marginal

Unsatisfactory

Remarks:

If given the opportunity, would you work with this contractor again? Yes No Not Sure

OTHER REMARKS:

(1) Please use the space below to provide other information related to the contractor's performance.

PART III. RETURN INSTRUCTIONS

Please return this completed Questionnaire via e-mail to the following email addresses: Adam.T.Humphrey@usace.army.mil and Lisa.M.Hendrix@usace.army.mil

Thank you for your assistance.

mailto:Aquiller.Cole@usace.army.mil mailto:Frederick.Cartes@usace.army.mil