Amendment.pdf

411TH CSB, KOREA - CONST & SUPPLY TEAM

POC: KIM, NAM SUN

TEL: 02-7914-3339

NAMSUN.KIM3.LN@MAIL.MIL

APO AP 96205-5289

UNITED STATES OF AMERICA (THE)

0010826073

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

a. The purpose of this modification is to add the description of Paragraph 3. Pricing Schedule in BLANKET PURCHASE AGREEMENT as show n below .

b. The closing date w as extended to 14 April 2016.

c. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 06-Apr-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 W91QVN-16-T-0073

X 9B. DATED (SEE ITEM 11)

23-Mar-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 X 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.

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

04-Apr-2016

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCC YONGSAN, UNIT #15289

APO AP 96205-5289

UNITED STATES OF AMERICA (THE)

W91QVN 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W91QVN

FACILITY CODECODE

EMAIL:TEL:

W91QVN-16-T-0073

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

AMENDMENT

SUMMARY OF CHANGES

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 30-Mar-2016 01:00 PM to 14-Apr-2016 01:00 PM.

The following have been modified:

BPA

BLANKET PURCHASE AGREEMENT

NOTICE TO OFFEROR: THIS IS MULTIPLE BLANKET PURCHASE AGREEMENTS (BPA) FOR THE

PURCHASE OF NAME PLATE. THE PRICES OFFERED WILL BE USED FOR NOT ONLY

AWARDING THE ORDER BUT COLLECTION OF PRICE INFORMATION.

1. FSC Code: This BPA will be used for items falling within the FSC Codes below.

FSC Description

7510 Office Supplies

7530 Stationery and Record Forms

7540 Standard Forms

2. Period of Performance

Five (5) years from the date of agreement unless the BPA is sooner terminated by either party by written notice

3. Pricing Schedule:

a. The contractor shall deliver items to 121st Combat Support Hospital based on the below unit prices.

b. Item 0001: Name plate may be provided with English or Korean per the customer's request.

CLIN Item Description Qty for

Five (5) years Unit Price

NAME PLATE

Material : Plastic Color: Black plastic and the color of the letter is white.

Size: 3.0 inch x 3.0 inch (WxH) See the below sample picture

600 EA

W91QVN-16-T-0073

4. Delivery Schedule: Delivery shall be made within five (5) working days after receipt of call. In any case of changes, the contractor shall notify the Contracting Officer and call officer within 3 days after receipt of order for approval.

(End of Summary of Changes)