W91LV2-10-F-0057 P00001.pdf

ARMY RESERVE CONTRACTING CENTER-SOUTH

ATTN: MARIAN KORN

803-751-3908

BUILDING 9810 LEE ROAD

FORT JACKSON SC 29207-6070

TN010PE0CUS002

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

1. The purpose of this modification is to:

a. correct the Period of Performance in the Supplemental Information section of this contract.

b. correct the information in the Administrative Data section of this contract.

2. Except as provided herein all other terms and conditions remain unchanged and in full force and effect.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 05-Oct-2010

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)

9B. DATED (SEE ITEM 11)

X W91LV2-10-F-0057

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

15-Sep-2010

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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.

X

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 X 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.

P00001

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

6. ISSUED BY

3. EFFECTIVE DATE

05-Oct-2010

CODE

HQ ARMY RESERVE CONTRACTING CENTER

5418 SOUTH SCOTT PLAZA

3RD FLOOR

FORT DIX NJ 08640-5097

W91LV2 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W912C6

GOODWILL INDUSTRIES - KNOXVILLE, INC.

ROBERT G ROSENBAUM

5307 KINGSTON PIKE

KNOXVILLE TN 37919-5024

FACILITY CODE0VET6CODE

sharon.wilsonemmons@us.army.milEMAIL:609-562-5741TEL:

SHARON WILSON-EMMONS / CONTRACTING OFFICER

Modification Control Number: arcch291137

W91LV2-10-F-0057

P00001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been modified:

SUPPLEMENTAL INFORMATION

This is a single award Firm Fixed Contract for non-personal custodial services at Hewgley USARC, Knoxville, TN for a base period 15 September 2010 – 14 September 2011 with 4 follow-on years. This acquisition is a Mandatory

AbilityOne procurement. Service(s) required are listed in accompanying Performance Work Statement.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The vendor signature required has changed from required to not required.

The number of award copies required 1 has been deleted.

The following have been modified:

ADMINISTRATIVE DATA

1. INQUIRIES:

Inquiries concerning all post contract award actions shall be directed to the Administrative Contracting

Officer:

Administrative Contracting Officer:

NAME: Deborah Parks Taylor

LOCATION: Mission and Installation Contracting Command USAR DOC- South

TELEPHONE NO: 803-751-9069

2. REMITTANCE ADDRESS:

The bidder/offeror will indicate below the address to which payments should be mailed if such address is different from the address shown on the face of Standard Form 1449.

3. PAYMENT:

Payment will be made by:

DFAS-IN DNO

ARMYVENDOR PAY DEPT 3800,

8899 E. 56TH ST.

INDIANAPOLIS IN 46249-3800

WIDE AREA WORKFLOW – RECEIPT AND ACCEPTANCE (WAWF-RA)

ELECTRONIC RECEIVING REPORT AND INVOICING INSTRUCTIONS

IN ACCORDANCE WITH DFARS 232.7002, USE OF ELECTRONIC PAYMENT REQUESTS IS

MANDATORY. USE OF WAWF WILL SPEED UP YOUR PAYMENT PROCESSING TIME AND ALLOW

YOU TO MONITOR YOUR PAYMENT STATUS ONLINE. THERE ARE NO CHARGES OR FEES TO USE

WAWF.

Requests for payments must be submitted electronically via the Internet through the Wide Area WorkFlow – Receipt and Acceptance (WAWF-RA) system at https://wawf.eb.mil.

You can also access payment information using the DFAS myInvoice web site at http://www.dod.mil/dfas/contractorpay/myinvoice.html.

THE FOLLOWING CODES WILL BE REQUIRED TO ROUTE YOUR RECEIVING REPORTS, INVOICES

AND ADDITIONAL E-MAILS CORRECTLY THROUGH WAWF.

CONTRACT NUMBER: W91LV2-10-F-0057

DELIVERY ORDER NUMBER: N/A

TYPE OF DOCUMENT: 2-in-1

CAGE CODE: 0VET6

ISSUE BY DODAAC: W91LV2

ADMIN DODAAC: W9025C

INSPECTOR: W9025C

SERVICE ACCEPTOR / SHIP TO: W9025C

PAY OFFICE DODAAC: HQ0105

SEND MORE E-MAIL NOTIFICATIONS:

CONTRACT ADMINISTRATOR: Marian Korn

CUSTOMER: Marshall Anderson

ADDITIONAL EMAILS

Contract Administrator Contracting Officer

Name: Marian Korn Name: Deborah Parks Taylor

Phone: 803-751-3908 Phone: 803-751-9069

E-mail: marian.d.korn@usar.army.mil Email: deborah.p.taylor@usar.army.mil

Customer Contractor

Name: Marshall E. Anderson Name: Goodwill Industries

Phone: 803-370-4120 Phone: 865-588-8567

Email: marshall.e.anderson@usar.army.mil

(End of Summary of Changes)

Section A - Summary Of Changes