11R006_Am4.pdf

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Design Build HC-130J Aerospace Ground Equipment (AGE) Maintenance Facility, Davis Monthan AFB, AZ.

The purpose of this amendment is to:

1. See attached (page 2).

2. Remove and replace SF1442

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

MODIFICATION OF CONTRACTS/ORDER

NO.

E. IMPORTANT: Contractor

15B. CONTRACTOR/OFFEROR

is not, copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer tended.

Offers 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 submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDG- MENT 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.

is extended, B.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CON-

TRACT ORDER NO. IN ITEM 10A.

2. AMENDMENT/MODIFICATION NO.

6. ISSUED BY

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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.

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) is required to sign this document and return

15A. NAME AND TITLE OF SIGNER (Type or print)

PAGE OF PAGES 1. CONTRACT ID CODE

5. PROJECT NO. (If applicable) 4. REQUISITION/PURCHASE REQ. NO. 3. EFFECTIVE DATE

7. ADMINISTERED BY (If other than Item 6)

15C. DATE SIGNED

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

16B. UNITED STATES OF AMERICA

BY

16C. DATE SIGNED

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED (SEE ITEM 11)

10B. DATED (SEE ITEM 13)

CODE CODE

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.

is not ex-copies to the issuing office.

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

(Signature of person authorized to sign) (Signature of Contracting Officer)

USAPPC V1.00

10A.

30-105-02

SEE ITEM #6USACE, Los Angels District CONTRACTING DIVISION, East Region Branch

P.O. BOX 532711

LOS ANGELS, CA 90053-2325

CODE

W912PL

FACILITY CODE

1 2

0004 2 Feb 2011

W912PL-11-R-0006

21 DEC 10

W912Pl-11-R-0006 Amendment No. 4

2. SPECIFICATIONS: Delete the following listed pages and substitute the pages attached hereto. On the revised pages, for convenience, changes are emphasized by the amendment number in parentheses before and after changes from the previous issue. All portions of the revised (or new) pages shall apply whether or not changes have been indicated.

Delete Page Insert Page

00010, Entire Document 00010, Entire Document

////////LAST ITEM////////

Amendment No. 4

SECTION 00010 - 1

SECTION 00010 - PRICING SCHEDULE

THE CONTRACTOR SHALL COMPLETE THE ENTIRE WORK READY FOR USE NOT LATER THAN 540

CALENDAR DAYS AFTER THE CONTRACTOR RECEIVES THE NOTICE TO PROCEED.

CONTRACTOR SHALL FURNISH ALL PLANT, LABOR, MATERIAL, EQUIPMENT, ETC. NECESSARY TO PERFORM ALL WORK IN STRICT ACCORDANCE WITH THE TERMS AND CONDITIONS SET FORTH IN THE

CONTRACT TO INCLUDE ALL ATTACHMENTS THERETO.

Item Unit No. Description Quantity Unit Price Amount

BASE BID

0001 Total Cost of Design for HC-130J Age Maintenance Facility Including All Site Work, Complete 1 LS *** $

0002 Total Cost of Construction for HC-130J Age Maintenance Facility Within Building 5’-0” Line, Complete

1 LS *** $

0003 Total Cost of Construction for Fueling Station, Complete 1 LS *** $

0004 Total Cost of Construction for Fuel Tank, Complete 1 LS *** $

Amendment No. 4

SECTION 00010 - 2

SECTION 00010 - PRICING SCHEDULE

Item Unit No. Description Quantity Unit Price Amount

BASE BID (Cont’d)

0005 Total Cost of Construction for Site Work Outside the Building 5'-0" Line Including Site Demolition, Grading, Dumpster Enclosures, Landscaping and Irrigation, Mechanical Yard, Sidewalks, Pavement, Striping, Fencing and Gates, Curb and Gutter, Utilities, Detention Pond, Lighting, and Signage, and All Other Work Not Separately Listed, Complete 1 LS *** $

TOTAL AMOUNT – BASE BID $

BID OPTION NO. 1

0006 Total Cost for Design and Construction of Additional Fueling Station and 12,000 Gallon Tank In Lieu of 4,000 Gallon Tank, Complete 1 LS *** $

TOTAL AMOUNT – BID OPTION NO. 1 $

Amendment No. 4

SECTION 00010 - 3

SECTION 00010 - PRICING SCHEDULE

Item Unit No. Description Quantity Unit Price Amount

BID OPTION NO. 2

0007 Total Cost for Design and Construction of Roof Structures with 80kw of Photovoltaic Panels, Complete 1 LS *** $

TOTAL AMOUNT – BID OPTION NO. 2 $

BID OPTION NO. 3

0008 Total Cost of Design for LEED Gold, Complete 1 LS *** $

0009 Total Cost of LEED Gold Certification Including Increased Construction Cost and Certification Fees, Complete 1 LS *** $

TOTAL AMOUNT – BID OPTION NO. 3 $

LS = Lump Sum

Amendment No. 4

SECTION 00010 - 4

SECTION 00010 - PRICING SCHEDULE

RECAPITULATION

1. TOTAL AMOUNT - BASE BID $

2. TOTAL AMOUNT – BID OPTION NO. 1 $

3. TOTAL AMOUNT – BID OPTION NO. 2 $

4. TOTAL AMOUNT – BID OPTION NO. 3 $

5. TOTAL AMOUNT - BASE BID AND BID OPTIONS NO. 1, 2, and 3

Amendment No. 4

SECTION 00010 - 5

SECTION 00010 - PRICING SCHEDULE

Offeror Notes:

1. EVALUATION: The Government intends to issue a contract resulting from this Request for Proposal (RFP) to the responsible offeror whose proposal represents the Best Value to the Government by being the Lowest Priced Technically Acceptable (LPTA) proposal as described in Sections 00110 and 00120. This process permits the Government to award the contract to an offeror determined to be technically acceptable with the lowest evaluated price. The Government will make one (1) award to the offeror with the lowest price technically acceptable in accordance with FAR Section 15.101-2, entitled, Lowest Priced Technically Acceptable Source Selection.

2. * EVALUATION OF OFFERS: OFFERORS MUST SUBMIT A PROPOSAL BASED ON A 540 CALENDAR DAY SCHEDULE. THE GOVERNMENT WILL MAKE ONE (1) AWARD TO THE OFFEROR WHO OFFERS THE BEST VALUE TO THE GOVERNMENT USING THE LOWEST PRICED TECHNICALLY ACCEPTABLE SOURCE

SELECTION PROCESS IN ACCORDANCE WITH FAR SECTION 15.101-2.

3. Award of all Base Bid and Options Items will be made to one offeror. Prices must be submitted on all individual items of the Price Schedules. Offeror must propose on all items. Failure to do so may cause the proposal to be determined unacceptable.

4. Performance Period: The Offeror shall complete and propose on all Base Bid and Options items in the Price Schedule to correspond with the completion time in calendar days after receipt of Notice To Proceed (NTP) as specified in Section 00800, Special Contract Requirements, Clause 52.211-10, Commencement, Prosecution and Completion of Work.

5. All extensions of the unit prices shown will be subject to verification by the Government. In case of variation between the unit price and the extension, the unit price will be considered to be the offered amount.

6. If a modification to a price is submitted which provides for a lump sum adjustment to the total amount, the application of the lump sum adjustment to each item in the Price Schedule must be stated. If it is not stated, the offeror agrees that the lump sum adjustment shall be applied on a pro rata basis to every item in the Price Schedule.

7. The Offeror shall distribute his indirect costs (overhead, profit, bond, etc.,) over all items in the Price Schedule. The Government will review submitted Price Schedule for any unbalancing of the items. Any submitted Price Schedule determined to be unbalanced may cause the bidder to be ineligible for contract award.

8. The Lump Sum (LS) line items are not “estimated quantity” line items and therefore are not subject to the Variation in Quantity contract clause.

Amendment No. 4

SECTION 00010 - 6

SECTION 00010 - PRICING SCHEDULE

9. For the purpose of initial evaluation of offers, the following will be utilized in resolving arithmetic discrepancies found on the face of the Price Schedule as submitted by the offeror:

a. Obviously misplaced decimal points will be corrected;

b. In case of discrepancy between the unit price and the extended price, the unit price will govern;

c. Apparent errors in extensions of unit prices will be corrected;

d. Apparent errors in addition of lump sum and extended prices will be corrected.

10. The Contract Clause 52.232-27, "Prompt Payment for Construction Contracts" requires that the name and address of the contractor official, to whom payment is to be sent, be the same as that in the contract or in a proper Notice of Assignment.

11. Payment of Electronic Funds Transfer (EFT) is the mandatory method of payment.

The Contractors attention is directed to Contract Clause No. 52.232-33 "Mandatory Information for Electronic Funds Transfer" located in Section 00800.

12. Principal Contracting Officer. The Contracting Officer who signs this contract will be the Principal Contracting Officer for this contract. However, any Contracting Officer assigned to the Los Angeles District, Contracting Division within his authority, may take formal action on this contract when the Principal Contracting Officer is unavailable and the action needs to be taken.

13. Amounts and prices shall be indicated in either words or figures, NOT BOTH.

14. Offeror is cautioned to check Price Schedule carefully prior to submission. If the Price Schedule contains unit prices, they should be round off to the second decimal point only NOT EXTENDED FURTHER.

15. The Offeror shall furnish all plant, labor, material, equipment, etc., necessary to perform all work in strict accordance with the terms and conditions set forth in the contract in include all attachments thereto.

16. The successful offeror grants the options listed in the Price Schedule to the Government and agrees that the options may be exercised any time up to 120 calendar days after NOTICE TO PROCEED. The given contract completion time was formulated to include time necessary to perform all option work. The time stated for completion shall include final clean-up of the premises. Refer to Section 00800, Contract Clause No. FAR 52.211-10, “Commencement, Prosecution and Completion of Work.”

17. EVALUATION OF OPTIONS: The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Please see FAR Clause 52.217-5, Entitled, “Evaluation of Options (Jul 1990), Section 00100.

Amendment No. 4

SECTION 00010 - 7

requirement. Please see FAR Clause 52.217-5, Entitled, “Evaluation of Options (Jul 1990), Section 00100.

18. Contractor is required to fill in CAGE CODE (Reference Section 00600, entitled “Required Central Contractor Registration” Mar 1988) and DUNS NUMBER (Reference Section 00600, entitled “Data Universal Numbering Systems (DUNS) Number” Jun 1999) and “Tax ID Number” in Block No 15 on Standard Form 1442, Name and Address Block (Cage Code under Cage and DUNS No. under Duns respectively).

19. PLEASE NOTE: The Contractor agrees to attend any Post Award conference convened by the contracting activity or contract administration in accordance with Federal Acquisition Regulation subpart 42.5.

20. CONTRACTOR PERFORMANCE EVALUATIONS. In accordance with the provisions of Subpart 36.201(Evaluation of Contractor Performance) of the Federal Acquisition Regulation (FAR), construction contractor’s performance shall be evaluated throughout the performance of the contract. The United States Army Corps of Engineers (USACE) follows the procedures outlined in Engineering Regulation 415-1-17 to fulfill this FAR requirement. For construction contracts awarded at or above $100,000.00, the USACE will evaluate contractor’s performance and prepare a performance report using the Construction Contractor Appraisal Support System (CCASS), which is now a web-based system. After an evaluation (interim or final) is written up by the USACE, the contractor will have the ability to access, review and comment on the evaluation for a period of 30 days. Accessing and using CCASS requires specific software, called PKI certification, which is installed on the user’s computer.

21. The certification is a Department of Defense requirement and was implemented to provide security in electronic transactions. The certification software could cost approximately $110 - $125 per certificate per year and is process and for contacting vendors can be found on the web site: http://www.cpars.navy.mil/. If the Contractor purchased from an External Certificate Authorities (ECA) vendor. Current information about the PKI certification wishes to participate in the performance evaluation process, access to CCASS and PKI certification is the sole responsibility of the Contractor.

22. PLEASE NOTE: PROSPECTIVE OFFERORS SHOULD SUBMIT CONTRACTING AND TECHNICAL

INQUIRIES AND QUESTIONS RELATING TO PROPOSAL PROCEDURES ARE TO BE SUBMITTED VIA

BIDDER INQUIRY IN PROJNET AT WWW.PROJNET.ORG.PROJNET REFER TO SECTION 00100, CLAUSE

NO. 52.0000-4010, ENTITLED, “INQUIRIES”.

23. EXERCISE OF OPTIONS. The Government reserves the right to exercise the option(s) by written notice to the Contractor either singularly or in any combination for up to 120 calendar days after award of the Base Bid without an increase in the Offeror's bid price. Completion of added options shall continue at the same schedule as the Base Bid unless otherwise noted in Section 00800 - SPECIAL CONTRACT REQUIREMENTS, Paragraph 1, COMMENCEMENT, PROSECUTION AND COMPLETION OF

WORK.

Amendment No. 4

SECTION 00010 - 8

SECTION 00010 - PRICING SCHEDULE

24. PROGRESS PAYMENT REQUESTS made by the Contractor pursuant to the provisions of Contract Clause, PAYMENTS UNDER FIXED-PRICE CONSTRUCTION CONTRACTS, shall be submitted on ENG FORM 93 to the administration office as designated in Block 26, Standard Form 1442 Back, Solicitation, Offer and Award. ENG FORM 93 shall be submitted to that office on the 1st of each month in appropriate form and certified. Photocopies of the form shall be furnished on that same date to the Corps of Engineers offices designated at the Pre-Construction Conference.

25. ACCRUALS. In accordance with USACE Engineer Financial Regulation (ER) 37-1- 30, and other applicable Federal and DOD financial accounting standards, the Contractor must assist government personnel with providing reasonably accurate estimates of the value of goods and/or services rendered to the Government pursuant to this contract for each calendar month during which goods and services are delivered. Standard forms and instructions will be provided by the Government to assist with meeting this requirement. These monthly estimates, which facilitate timely entry of accruals, must be received by the Government on or before four (4) business days prior to each calendar month-end.

26. The Congress, in authorizing and funding this contract, has established certain cost limitations for the project. The current authorization for the complete design and construction of FY2011 Project Number FBNV113007 is $4,600,000 $3,680,000 including Base Bid and all Optional Items. Proposals that exceed these funding limits may be rejected. Submission of desirable additional features exceeding minimum requirements may be considered as long as award can be made within the established funds.

27. At the time of this statement, the FY2011 Military Construction Act has not yet been signed into law by the President of the United States. This MILCON project is included or provided for in the financial plan for fiscal year 2011. Funds for this prospective Air Force military construction project are not yet available.

This project is considered a high priority project in that there is a high probability that the requirement will not be cancelled.

(4) (4)

Amendment No. 4

SECTION 00010 - 9

CERTIFICATE OF CORPORATE PRINCIPAL

1) IF THE OFFEROR IS A JOINT VENTURE, COMPLETE THE FOLLOWING:

(Company Name) (Signature) (Title)

(Company Name) (Signature) (Title)

(Company Name) (Signature) (Title)

2) IF THE OFFEROR IS PARTNERSHIP, LIST FULL NAME OF ALL PARTNERS:

(Company Name) (Signature) (Title)

(Company Name) (Signature) (Title

(Company Name) (Signature) (Title)

3) IF THE OFFEROR IS A CORPORATION, THE FOLLOWING CERTIFICATION SHOULD BE

COMPLETED:

CERTIFICATION AS TO CORPORATE PRINCIPAL

I, , certify that I am the Secretary of the corporation named as principal in the within contract; that , who signed the said contract on behalf of the principal, was the of the corporation; that I know his signature and that his signature is genuine; and that said contract was duly signed, sealed and attested for in behalf of said corporation by authority of its governing body.

CORPORATE PRINCIPAL

CORPORATE SEAL

SECRETARY

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

1. SOLICITATION NUMBER 2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED PAGE OF PAGES

IMPORTANT - The "offer" section on the reverse must be fully completed by the offeror.

4. CONTRACT NUMBER 5. REQUISITION/PURCHASE REQUEST NUMBER 6. PROJECT NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO

9. FOR INFORMATION CALL

A. NAME B. TELEPHONE NUMBER (Include area code) (NO COLLECT CALLS)

SOLICITATION

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying number, date):

11. The Contractor shall begin performance within calendar days and complete it within calendar days after receiving award, notice to proceed. This performance period is mandatory, negotiable. (See .)

12A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE PAYMENT BONDS?

(If "YES," indicate within how many calendar days after award in Item 12B.)

12B. CALENDAR DAYS

YES NO

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and copies to perform the work required are due at the place specified in Item 8 by (hour) local time (date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror’s name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is, is not required.

C. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

NSN 7540-01-155-3212

Designed using Perform Pro, WHS/DIOR, Oct 96

1442-103 STANDARD FORM 1442 (REV. 4-85) (EG)

Prescribed by GSA - FAR (48 CFR) 53.236-1(d)

AMEND 0004

X

W912PL-11-R-0006

X

21 DEC 10 1 OF 2

W912PL

USACE, Los Angeles District Contracting Division, East Region Branch 915 Wilshire Blvd, Suite 1440 P. O. Box 532711, Los Angeles, CA 90053-2325

See Item 7

Christina M. Chavez 213-452-3246

Design Build HC-130J Aerospace Ground Equipment (AGE) Maintenance Facility, Davis Monthan AFB, AZ.

Design and Construct a new HC-130J AGE Maintenance facility with structural metal and split face block exterior, reinforced concrete foundation and floor slab, structural steel frame, and standing seam metal roof. Provide a 5-ton bridge crane and an estimated 60 ton air conditioning system. Sustainable Design and Development (SDD) and Energy Policy Act of 2005 (EPAct05) features will be provided. This project will comply with DOD Anti-Terrorism/Force Protection requirements per UFC 4-010-01 and be LEED Silver Certifiable under the USGBC LEED-NC Rating System. Sustainable principles, to include Life Cycle cost-effective practices, will be integrated into the design, development and construction of the project in accordance with Executive Order 13423 and 10 USC 2802 (c).

COMPETITIVE RFP – 100% Small Business Set Aside BEST VALUE: LOWEST PRICED TECHNICALLY ACCEPTABLE (LPTA). Estimated cost range of the project is Between $1,000,000 and $5,000,000.

IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO CHECK THE DESIGNATED GOVERNMENT POINT OF ENTRY (FBO.gov) FREQUENTLY FOR ANY AMENDMENTS OR CHANGES TO THE SOLICITATION.

ALL OFFERORS ARE ADVISED THAT THIS PROCUREMENT MAY BE DELAYED, CANCELLED OR REVISED AT ANY TIME

DURING THE SOLICITATION, EVALUATION AND/OR FINAL AWARD PROCESS.

10 *See 00800

X X *Section 00800

X 10

3 2 PM

17 FEBRUARY 2011

X

OFFER (Must be fully completed by offeror)

STANDARD FORM 1442 BACK (REV. 4-85)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code) 15. TELEPHONE NUMBER (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14)

CODE FACILITY CODE

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing within calendar days after the date offers are due. (Insert any number equal or greater than the minimum requirement stated in 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.)

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGEMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation - give number and date of each)

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print) 20B. SIGNATURE 20C. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED

22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA

24.SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM 25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

10 U.S.C. 2304(c) ( ) 41 U.S.C. 253(c) ( )

26. ADMINISTERED BY 27. PAYMENT WILL BE MADE BYCODE

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return copies to the issuing office.) Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and

(c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

29. AWARD. (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award. No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN

(Type or print)

30B. SIGNATURE 30C. DATE

31A. NAME OF CONTRACTING OFFICER (Type or print)

31B. UNITED STATES OF AMERICA 31C. AWARD DATE

BY

AMEND 0004

DUNS NO.: TAX ID NO.:

CAGE CODE NO.:

( ) - ; FAX ( ) -

SEE PRICING SCHEDULE