W912QR24R0009-0003.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 W912QR24R0009 for the Design Bid Build construction of an Army Reserve Training Center (USARC) at Ft. Buchanan, Puerto Rico, is hereby modif ied as follow s:

A. An additional site visit is hereby added for this project. Please see the updated details in FAR 52.236-27 Alt I (Site Visit) B. In addition, Form DD369 must be completed and returned prior to the site visit. Please complete mandatory blocks 1 to 9a, and sign block

11. Once completed send to Ingrid Moreno ingrid.a.moreno-cedeno@usace.army.mil.

C. The submission date remains the same 29 Feb 2024 at 11:00 am ET. Acknow ledgment of receipt of this amendment and proposals are due at that time.

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 W912QR24R0009

X 9B. DATED (SEE ITEM 11)

20-Nov-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, 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.

U0003

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

6. ISSUED BY

3. EFFECTIVE

DATE

09-FEB-2024

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:

W912QR24R0009-0003

W912QR24R0009

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION 00 21 00 - INSTRUCTIONS

The following have been modified:

52.236-27 SITE VISIT (CONSTRUCTION) (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-- 16 February 2024 at 10:30 AM Eastern Time

(c) Participants will meet at-- Visitor's Control Center Parking@ Borinqueneers Gate (PR-28), Fort Buchanan.

Information for Site Visit ALL individuals planning to participate of the site visit shall register, via email – Ingrid Moreno ingrid.a.morenocedeno@usace.army.mil and Rafael Cardona rafael.a.cardona@usace.army.mil

Provide your name, company, phone number and email information.

DD 369 Required

- Each individual must complete a DD 369 (See attachment) Form and submit it to the Antilles Area Office by Wednesday 14 February 2024 . at 3:00pm to secure the access to the Installation. In addition to the DD 369, you shall provide copy of a valid ID (Driver's License or US Passport) attached to the form. Due to the requirement of Personal Identifiable Information (PII) to be included in the form two options may be provided to submit them:

1. Send via email to ingrid.a.moreno-cedeno@usace.army.mil; complete the form(s), Blocks #1 to #9 and #11, except Block #7. Ingrid will call the individual and request the complete SSN in order to submit to the Fort Buchanan Police.

- Individuals with a negative police record check, will be notified by the Antilles Office representative and will not be able to obtain an access pass from Fort Buchanan.

- The attendees shall plan to be at the meeting point at least 30 mins before the time for the site visit to process/receive a day pass for access. A valid ID will be required (Driver's License, US Passport) -cannot be expired.

- The vehicles to access the Base will need to have a valid registration ("Marbete") and be in good conditions. The Directorate of Emergency Services reserves the right to allow vehicles on Post.

- All attendees must observe the Installation rules, including but not limited to driving requirements within the Installation.

- As per the schedule, all contractors and USACE will access the Base and drive together to the site.

Those that are not timely at the meeting point will not be able to participate of the site visit.

W912QR24R0009

- The prospective bidders are responsible for bringing all required documents to perform the site investigation. The Government will not have plans and specifications during the site visit.

- During the site visit, no questions will be answered. All questions related to the findings on site shall be posted in ProjNet (Bid Inquiry) for Government evaluation and response as required in the contract solicitation.

- NO PICTURES are allowed within the boundaries of Fort Buchanan. Individuals taking pictures or videos will be immediately reported to the Fort Buchanan Police Department and ESCORTED OUT of the Installation.

(End of provision)

(End of Summary of Changes)

Prescribed By: DoDI 1304.02 CUI when filled

CUI when filled

Controlled by: OUSD(P&R) CUI Category: PRVCY

LDC: FEDCON

POC: osd.pentagon.ousd-p-r.mbx.forms@mail.mil

PREVIOUS EDITION IS OBSOLETE. Page 1 of 1DD FORM 369, APR 2019

POLICE RECORD CHECK

1. DATE OF REQUEST (YYYYMMDD)

FILL

OMB No. 0704-0007 OMB approval expires 20250531

The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-informationcollections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.

SECTION I - (To be completed by Recruiting Service)

2. NAME OF APPLICANT (Last, First, Middle Name(s), Alias)

3. SEX

MALE

FEMALE

4. PLACE OF BIRTH

A. CITY B. COUNTY C. STATE

5. DATE OF BIRTH

(YYYYMMDD)

6. A. ETHNICITY

(1) HISPANIC OR LATINO

(2) NOT HISPANIC OR

LATINO

6. B. RACE (Select one or more)

(1) AMERICAN INDIAN/ALASKA NATIVE

(2) ASIAN

(3) BLACK OR AFRICAN AMERICAN

(4) NATIVE HAWAIIAN OR

OTHER PACIFIC ISLANDER

(5) WHITE

7. SOCIAL SECURITY

NUMBER

LAST FOUR DIGITS

8. ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block) 9. DATES RESIDED AT THIS ADDRESS

A. NUMBER AND STREET (include apartment no.) B. CITY C. STATE D. ZIP CODE A. FROM

(YYYYMMDD)

B. TO

(YYYYMMDD)

PRESENT

10. PERSON MAKING THIS REQUEST

A. NAME (Last, First, Middle Name(s))

Grau De Leon, Carmelo

B. RANK

GS-13

C. SIGNATURE D. TITLE

USACE

Contract Officer's Representative

SECTION II - (To be completed by Applicant)

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. Sections 136, 504, 505, 12102; 14 U.S.C. Sections 351 and 632; DoDI 1304.2; DoDI 1304.26; and E.O. 9397 (SSN), as amended.

PRINCIPAL PURPOSE(S): The information collected on this form is used to screen and identify applicants to the Armed Forces who may have discreditable involvement with the police or other law enforcement agencies. Completed forms are used to conduct background records checks used to determine eligibility of applicants for accession into the Armed Forces. Completed forms are covered by recruiting and official military personnel SORNs maintained by each of the Services.

ROUTINE USE(S): The routine uses are found in the associated system of records notices listed below:

DoDM 1145.02, Military Entrance Processing Station (MEPS); https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/114502m.pdf?ver=2018-07-23-121425-917 A0601-210c TRADOC, Army Recruiting Prospect System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570073/a0601-210c-tradoc/ F036 AETC R, Air Force Recruiting Information Support System (AFRISS) Records; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569780/f036-aetc-r/ M01133-3, Marine Corps Recruiting Information Support System (MCRISS); http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570628/m01133-3/ N01133-2, Recruiting Enlisted Selection System; http://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570318/n01133-2/ DHS/USCG-027, Recruiting Files System of Records; http://www.gpo.gov/fdsys/pkg/FR-2011-08-10/html/2011-20225.htm

DISCLOSURE: Voluntary. However, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United States. An applicant's SSN is used to conduct the police records check and keep all records together during the enlistment process.

11. I HEREBY CONSENT TO RELEASE YOUR FILES FROM THE

INFORMATION REQUESTED BELOW.

SIGNATURE

SECTION III - (To be completed by Police or Juvenile Agency) The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience.

12. DOES THE APPLICANT HAVE A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS? YES NO

(if YES, what was the offense or charge, date, disposition and sentence?)

13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND? YES NO

(if YES, give details.)

THIS IS TO CERTIFY THAT THE ABOVE DATA, AS CORRECTED, ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE.

THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES.

14. DATE (YYYYMMDD) 15. TITLE 16. VERIFIED BY (Signature)

LAW ENFORCEMENT AGENCY

MAIL TO:

RECRUITING AGENCY

MAIL FROM: