W912QR22R0010 0001.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

Solicitation W912QR22R0010 for the construction of the Flight Simulator Facility at Patrick Space Force Base is hereby amended as follow s:

See Continuation Page

1. CONTRACT ID CODE PAGE OF PAGES

1 3

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 W912QR22R0010

X 9B. DATED (SEE ITEM 11)

28-Oct-2021

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

02-Nov-2021

CODE

U. S. ARMY ENGINEER DISTRICT, LOUISVILLE

600 DR. MARTIN LUTHER KING, JR. PLACE

ROOM 821

LOUISVILLE KY 40202-2239

W912QR 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912QR22R0010

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00 10 00 - SOLICITATION

The following have been added by full text:

AMDT 0001 CONTINUATION PAGE

a. The proposal due date remains unchanged.

b. FAR clause 52.236-27 has been revised to 52.236-27 ALT I.

c. All other terms and conditions remain unchanged.

The following have been modified:

BLOCK 10 CONTINUATION PAGE

Technical inquiries and questions relating to the proposal procedures or bonds are to be submitted via Bidder Inquiry in ProjNet at http://projnet.org/projnet. Please see Section 00 21 00, ProjNet Instructions for further guidance.

Please see FAR 52.236-27 ALT I for Site Visit information.

The term bid and proposal are used interchangeably in industry and may be used interchangeably throughout this solicitation.

Please note, page numbering in this document may not be accurate.

All days are to be considered calendar days unless otherwise noted.

W912QR22R0010

SECTION 00 21 00 - INSTRUCTIONS

The following have been added by full text:

52.236-27 SITE VISIT (CONSTRUCTION) (FEB 1995) – ALTERNATE I (FEB 1995)

(a) The clauses at 52.236-2, Differing Site Conditions, and 52.236-3, Site Investigations and Conditions Affecting the Work, will be included in any contract awarded as a result of this solicitation. Accordingly, offerors or quoters are urged and expected to inspect the site where the work will be performed.

(b) An organized site visit has been scheduled for--

10 November 2021 (submission required by 04 November 2021)

(c) Participants will meet at--

Please see the below sheet for contact and submission requirements.

POC for the actual site visit:

Dennis Silvestri @ 321-494-0409

(End of provision)

The following have been deleted:

52.236-27 Site Visit (Construction) FEB 1995

(End of Summary of Changes)

45 SFS CREDENTIAL REQUEST FORM

(SUBJECT TO THE PRIVACY ACT OF 1974)

PRIVACY ACT STATEMENT

AUTHORITY: E.O. 9397; The Privacy Act of 1974, 5 U.S.C. 522a; DODD 8500.1

PRINCIPAL PURPOSE(S): To provide necessary information to determine if applicant meets installation access control requirements IAW HSPD12, DoD 5200.8, DTM 09-12, FIPS201 and AFI 31-113. Use of SSN is necessary to make positive identification of an applicant. Records in the Defense Biometric Identification System (DBIDS) are maintained to support DoD physical security and information assurance programs and are used for identity verification purposes, to record personal property registered with the DoD and for producing facility management reports. SSN, Driver’s License Number or other acceptable identification will be used to distinguish individuals who request access to 45 SW property.

DISCLOSURE: Voluntary. However, failure to provide the requested information may result in denial of an access credential and denial of access to 45 SW property

REQUIRES ACCESS TO:

Patrick AFB Cape Canaveral AFS VAFB

LONG TERM

(60 days or more)

SHORT TERM

(59 days or less)

TYPE

Govt Employee Govt Contractor Visitor Volunteer Student Caretaker Housing

I. VISITOR’S INFORMATION

NAME(First, Middle Initial, Last) BIRTH(MM/DD/YYYY) SOCIAL SECURITY NUMBER

DRIVER’S LICENSE NUMBER STATE COMPANY/UNIT

US CITIZEN? ALIEN/PASSPORT NUMBER/COUNTRY OF

BIRTH(non-US Citizens)

GENDER HEIGHT(ft/In) WEIGHT(lbs) EYE COLOR HAIR COLOR

YES NO

Does Applicant have a valid Federally Issued Common Access Card (CaC)? YES NO

II. ORGANIZATION/SPONSOR AND ACCESS DATES/TIMES

START DATE(MM/DD/YYYY) DAYS REQUESTING ACCESS

Hours (e.g.

0730- 1630)

MON TUE WED THU FRI SAT SUN

END DATE(MM/DD/YYYY)

REQUESTOR/SPONSOR AGENCY/ORGANIZATION DUTY PHONE

BADGING OFFICIAL/SPONSOR SIGNATURE DATE

REMARKS

III. ADVISEMENT OF POTENTIAL TOXIC HAZARDS (CCAFS ONLY)

Visitors must be aware that highly toxic chemicals (Nitrogen Tetroxide, Aerozine-50, Anhydrous Hydrazine and Monomethyl Hydrazine) used during launch vehicle processing pose potential risks of airborne toxic hazards at CCAFS. In the event of a toxic chemical release, all personnel including visitors must comply with posted warning signs and announcements on the Cape Aural Warning Zones system. This includes stopping your vehicle and waiting for security personnel to arrive when traffic lights on posted toxic hazard signs are activated red. Emergency procedures will evacuate personnel to designated assembly points that are upwind of a toxic chemical release point. Dial 911 (853-0911 cell phone) to report any emergency.

IV. ACKNOWLEDGEMENT OF INSTALLATION DRIVING PROCEDURES: INITIALS

V. 45 SFS USE ONLY

ON SRBW DATE OF NCIC CHECK NCIC OPERATOR COMMENTS

YES NO

INSTRUCTIONS FOR COMPLETING CREDENTIAL REQUEST FORM (Must be typed or printed clearly in ink).

Directions for Submitting: Page one (1) of this form be

Allow three (3) duty days for processing

Credential Type: Select either Patrick AFB and/or Cape Canaveral Air Force Station for installation access. VAFB may be selected for those organizations with workcenters at both Cape Canaveral AFS and Vandenberg AFB. Check long term (60 days or more) or short term paper pass (59 days or fewer). Check reason (e.g. Employee, Contractor, Visitor, Volunteer, Housing).

Visitor’s Information:

Name – Enter individual’s legal first name, middle initial and last name. (Mandatory)

Birth – Date of Birth using MM/DD/YYYY format. (Mandatory)

Social Security Number – Enter the individual’s social security number. (Mandatory)

Drivers License/State – Enter individuals complete driver’s license number and state issued. (Highly recommended)

Company/Unit - Name

US Citizen – Check either Yes or No if the individual is a US citizen. (Mandatory)

Alien Passport – Used to document Alien, Passport or immigration number of non-US citizens

Gender – Enter either M or F

Height – Enter height of individual in feet and inches, e.g. 5’8”

Weight – Enter weight in pounds, e.g. 175

Eye Color – Enter individual’s eye color, e.g. Black, Blue, Gray, Green, Hazel, Violet

Hair Color – Individual’s hair color, e.g. Auburn, Black, Blond, Gray, Red, Silver, White

Federal issued Common Access Card (CAC) -- Select Yes or N

Organization and Access Date/Times:

Start Date - Enter date the card/visitor pass is to become effect. (Mandatory)

End Date – The date which the card/visitor pass expires. (Mandatory)

Days Requesting Access Enter time(s) for authorized access for each day.

Requestor /Sponsor– Enter name of person completing access request form

Agency/Organization – Enter requestor’s organization

Duty Phone – Enter requestor’s duty phone

Signature/Date – Requestor’s signature and date

Remarks – Enter any additional processing instructions Advisement of Potential Toxic Hazards (CCAFS Only): Reviewed/initialed by visitor.

Acknowledgement of Installation Driving Procedure’s (IAW AFIs 31-218, Motor Vehicle Traffic Supervision and 91-207, The US Air Force Traffic Safety Program):

Personnel will comply with all rules and regulations while operating a vehicle within the jurisdiction of Patrick AFB/Cape Canaveral AFS. Failure to comply with established procedures may result in revocation of driving privileges.

- Personnel and their property are subject to search at any time

- Seatbelts must be worn at all times

- Texting while operating a motor vehicle is prohibited

- Talking on a cellular phone while operating a motor vehicle is prohibited unless using hands free technology.

V. 45 SFS use only: Internal use only.

organization

Enter time(s) for authorized access for each day.

(Mandatory)

(Mandatory)

Select either Pither atrick AFB and/or Cor ape Canaveral Air Fir orce Station for itation for nstallation access. may long term (60 days or more) organizations short term paper passer (59 days or for ewer).ff

Allow three (3) duty days for processing