W91QVN25R0012-0002.pdf

411TH CSB, KOREA - HUMP CONTRACTING DIV

POC: MR. CHEWNING, KAVIN E.

DSN: 315-755-0646

EMAIL: KAVIN.E.CHEWNING.CIV@ARMY.MIL

APO AP 96271-5228

UNITED STATES

0012213865

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

The purpose of this solicitation amendment is to extend the delivery date from 30 days to 60 days.

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 10-Dec-2024

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 W91QVN25R0012

X 9B. DATED (SEE ITEM 11)

21-Nov-2024

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

11-Dec-2024

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

HUMPHREYS CONTRACTING DIVISION

UNIT 15289

APO AP 96271-5584

UNITED STATES

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

4. REQUISITION/PURCHASE REQ. NO.

CODE W91QVN

FACILITY CODECODE

EMAIL:TEL:

W91QVN25R0012

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30 dys. ADC 1 W3BH USA GARRISON HUMPHREYS

W3BH USA GARRISON HUMPHREYS

0194 DSSB CO A SRA

BLDG P6953 CAMP HUMPHREYS

PYEONGTAEK 17982

011-82-53-470-65 FOB: Destination

WT4KBR

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

60 dys. ADC 1 W3BH USA GARRISON HUMPHREYS

W3BH USA GARRISON HUMPHREYS

0194 DSSB CO A SRA

BLDG P6953 CAMP HUMPHREYS

PYEONGTAEK 17982

011-82-53-470-65 FOB: Destination

WT4KBR

The following have been modified:

ADDENDUMS

ADDENDUM TO FAR 52.212-4

CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS

1. SHIPPING INSTRUCTIONS:

Door-to-Door delivery to the following address within 60 calendar days or sooner after receipt of order, FOB:

Destination.

Commercial address:

BLDG 5550, Supply and Storage Branch, Business Operation, and Integration Division, DPW, USAG Humphreys

CAMP HUMPHREYS PYEONGTAEK 17982

POC: Ms. Hong, Kyong Pyo

DSN TEL: 755-5422 / 0503-355-5422

kyongpyo.hong.ln@army.mil

W91QVN25R0012

2. INSPECTION AND ACCEPTANCE:

Inspection for condition, quality count and final acceptance of the supplies delivered under this purchase/delivery order shall be conducted by Receiving Officer or his authorized representative at the final destination point in Korea.

After final acceptance of all items, the payment will be made.

3. PAYMENT:

All requests for payment, invoice, and payment status will be referred to address in block 18a on SF1449 or block 15 on DD1155. All problems with payment of accounts will be directed to the same office. Telephone inquiries may be made between 8 am and 11 am, Monday through Friday. Payment will be made NET 30 days from date of receipt of invoice in paying office or acceptance of materials/services by the Receiving Officer in Korea, whichever is later.

4. NOTICE TO RECEIVING OFFICER (KOREA):

Upon receipt and acceptance of supplies, the receiving report shall be submitted electronically through Wide Area Workflow – Receipt and Acceptance (WAWF) at the web site https://wawf.eb.mil.

CAUTION: Failure to provide completed receiving report on a timely basis may result in a loss of discount, in which event the Receiving Officer is required to furnish reasons for delay so that proper documentation may be made to explain the loss.

5.RECEIVING OFFICER’S NOTIFICATION TO PURCHASING ACTIVITY OF NON-RECEIPT, DAMAGE OR NON-CONFORMANCE: The Receiving Officer shall notify the Purchasing Office promptly after date of delivery specifies in the order, of supplies not received, damaged in transit, or not conforming to specifications of the purchase order. Only under extenuating circumstances should such notification be made later than 15 days after specified date of delivery.

6.INVOICE SUBMITTAL:

The Contractor shall submit the invoice IAW DFARs 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Upon notification from the Receiving Officer, the invoice shall be submitted electronically through Wide Area Workflow – Receipt and Acceptance (WAWF) at the web site https://wawf.eb.mil.

See the Para 2. INSPECTION AND ACCEPTANCE prior to sending the invoice submittal to WAWF.

7.INVOICE FOR PAYMENT

For Supplies: Select the Create Invoice and Receiving Report COMBO within WAWF as the invoice type. The Invoice and Receiving Report COMBO prepares the Material Inspection and Receiving Report, DD Form 250, and the Invoice at the same time. Select the invoice type within WAWF as specified below. Back up documentation (such as timesheets, etc.) can be included and attached to the invoice in WAWF.

Attachments created in any Microsoft Office product are attachable to the invoice in WAWF. The following information, regarding invoice routine DODAAC’s, must be entered for completion of the invoice in WAWF:

“Contract number.”

WAWF Invoice Type: COMBO Issuing Office

DODAAC: W91QVN

Admin Office DODAAC: W91QVN Inspector DODAAC (if applicable): WT4KBR Ship to DODAAC (for Combo): WT4KBR Service Acceptor: WT4KBR Payment Office: W56GBU

7. Partial delivery and partial payment are not authorized.

END ADDENDUM

(End of Summary of Changes)