20160831_W91QF4-16-R-0032_MOD_Rev_2.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

To change w ording in CLIN description from Performance Work Standard to Performance Work Statement.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 7

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

16C. DATE SIGNED

BY 31-Aug-2016

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 W91QF4-16-R-0032

X 9B. DATED (SEE ITEM 11)

10-Aug-2016

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 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

31-Aug-2016

CODE

MICC FORT LEAVENWORTH

535 KEARNY AVE.

BLDG 338

FORT LEAVENWORTH KS 66027

W91QF4 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W91QF4-16-R-0032

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

SUBCLIN 000101

The CLIN extended description has changed from:

Band 1 - Headcount 0-350 per meal, per month; Base Year; 6 month @ ____________ per month; prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 1 - Headcount 0-350 per meal, per month; Base Year; 6 month @ ____________ per month; prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures.

SUBCLIN 000102

Band 2 - Headcount 351-500 per meal, per month; Base Year; 6 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 2 - Headcount 351-500 per meal, per month; Base Year; 6 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures.

CLIN 0002

Remote Feeding; Base Year: Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Remote Feeding; Base Year: Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures.

CLIN 1001

Option Year 1; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Option Year 1; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures.

SUBCLIN 100101

Band 1 - Headcount 0-350 per meal, per month; Option Year 1; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 1 - Headcount 0-350 per meal, per month; Option Year 1; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

SUBCLIN 100102

Band 2 - Headcount 351 - 500 per meal, per month; Option Year 1; 2 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 2 - Headcount 351 - 500 per meal, per month; Option Year 1; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

CLIN 1002

Remote Feeding; Option Year 1; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Remote Feeding; Option Year 1; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures.

CLIN 2001

Option Year 2; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Option Year 2; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the Performance Work Statement

SUBCLIN 200101

Band 1 - Headcount 0-350 per meal, per month; Option Year 2; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 1 - Headcount 0-350 per meal, per month; Option Year 2; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

SUBCLIN 200102

Band 2 - Headcount 351 - 500 per meal, per month; Option Year 2; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 2 - Headcount 351 - 500 per meal, per month; Option Year 2; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

CLIN 2002

Remote Feeding; Option Year 2; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Remote Feeding; Option Year 2; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, CLIN 3001

Option Year 3; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Option Year 3; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the Performance Work Statement

SUBCLIN 300101

Band 1 - Headcount 0-350 per meal, per month; Option Year 3; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 1 - Headcount 0-350 per meal, per month; Option Year 3; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

SUBCLIN 300102

Band 2 - Headcount 351-500 per meal, per month; Option Year 3; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 2 - Headcount 351-500 per meal, per month; Option Year 3; 12 month @ ___________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

CLIN 3002

Remote Feeding; Option Year 3; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Remote Feeding; Option Year 3; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, CLIN 4001

Option Year 4; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Option Year 4; Contractor will be responsible for all full food service operations to include, but not limited to, preparation, cooking, serving, breakfast, lunch and dinner in accordance with the Performance Work Statement

SUBCLIN 400101

Band 1 - Headcount 0-350 per meal, per month; Option Year 4; 12 month @ __________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 1 - Headcount 0-350 per meal, per month; Option Year 4; 12 month @ __________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

SUBCLIN 400102

Band 2 - Headcount 351-500 per meal, per month; Option Year 4; 12 month @ ________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Band 2 - Headcount 351-500 per meal, per month; Option Year 4; 12 month @ ________________ per month;

prepare and serve breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and

CLIN 4002

Remote Feeding; Option Year 4; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the performance work standards (PWS) and applicable Federal, State, Local Regulations, Rules, Standards and Procedures

To:

Remote Feeding; Option Year 4; Contractor will be responsible for preparing breakfast, lunch and dinner in accordance with the Performance Work Statement (PWS) and applicable Federal, State, Local Regulations, Rules, (End of Summary of Changes)