W912ES23Q00620001.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 reason for this amendment is add missing CLINs.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 12-May-2023

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 W912ES23Q0062

X 9B. DATED (SEE ITEM 11)

10-May-2023

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, 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

12-May-2023

CODE

CONTRACTING DIVISION

USACE, ST PAUL

332 MINNESOTA STREET

SUITE E1500

ST PAUL MN 55101-1323

W912ES 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912ES23Q0062

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0006 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0006 3 Each Firewood/Ash Removal

FFP

Per Scope of Work 3 times between 1 June to 15 October 2023 FOB: Destination

PSC CD: S205

NET AMT

CLIN 1006 is added as follows:

1006 3 Each OPTION Firewood/Ash Removal

FFP

Per Scope of Work 3 times between 1 May to 15 October 2024

CLIN 2006 is added as follows:

2006 3 Each OPTION Firewood/Ash Removal

FFP

Per Scope of Work 3 times between 1 May to 15 October 2025

CLIN 3006 is added as follows:

3006 3 Each OPTION Firewood/Ash Removal

FFP

Per Scope of Work 3 times between 1 May to 15 October 2026

CLIN 4006 is added as follows:

4006 3 Each OPTION Firewood/Ash Removal

FFP

Per Scope of Work 3 times between 1 May to 15 October 2027

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for CLIN 0006 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-JUN-2023 TO

15-OCT-2023

N/A CROSS LAKE DAM

JASON HAUSER

CROSS LAKE RECREATION AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

(651) 290-5791

966323

The following Delivery Schedule for CLIN 1006 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-MAY-2024 TO

15-OCT-2024

N/A CROSS LAKE DAM

JASON HAUSER

CROSS LAKE RECREATION AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

(651) 290-5791

The following Delivery Schedule for CLIN 2006 has been added:

CAGE

POP 01-MAY-2025 TO

15-OCT-2025

N/A CROSS LAKE DAM

JASON HAUSER

CROSS LAKE RECREATION AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

(651) 290-5791

The following Delivery Schedule for CLIN 3006 has been added:

CAGE

POP 01-MAY-2026 TO

15-OCT-2026

N/A CROSS LAKE DAM

JASON HAUSER

CROSS LAKE RECREATION AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

(651) 290-5791

The following Delivery Schedule for CLIN 4006 has been added:

CAGE

POP 01-MAY-2027 TO

15-OCT-2027

N/A CROSS LAKE DAM

JASON HAUSER

CROSS LAKE RECREATION AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

(651) 290-5791

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0006:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

N/A N/A CROSS LAKE DAM

CROSS LAKE RECREATION

AREA

35507 COUNTY ROAD 66

CROSS LAKE MN 56442-0036

Government

The following Acceptance/Inspection Schedule was added for CLIN 1006:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

N/A N/A CROSS LAKE DAM

CROSS LAKE RECREATION

AREA

35507 COUNTY ROAD 66

The following Acceptance/Inspection Schedule was added for CLIN 2006:

N/A N/A CROSS LAKE DAM

CROSS LAKE RECREATION

AREA

35507 COUNTY ROAD 66

The following Acceptance/Inspection Schedule was added for CLIN 3006:

N/A N/A CROSS LAKE DAM Government

CROSS LAKE RECREATION

AREA

35507 COUNTY ROAD 66

The following Acceptance/Inspection Schedule was added for CLIN 4006:

N/A N/A CROSS LAKE DAM

CROSS LAKE RECREATION

AREA

35507 COUNTY ROAD 66

(End of Summary of Changes)