HomeMy WebLinkAboutP00001_EFF 9.4.2024 EFFECT DATE Correction_DONsigned
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
This modification is to correct the period of performance found in Section F of the contract as shown on the following pages.
1. CONTRACT ID CODE PAGE OF PAGES
J 12
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 30-Nov-2021
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)
9B. DATED (SEE ITEM 11)
X N4425521C1004
10B. DATED (SEE ITEM 13)
X
9A. AMENDMENT OF SOLICITATION NO.
01-Sep-2021
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer 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.
X
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 X 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.
P00001
2. AMENDMENT/MODIFICATION NO.5. PROJECT NO.(If applicable)
6. ISSUED BY
3. EFFECTIVE DATE
04-Sep-2021
CODE
NAVFAC NORTHWEST
1101 TAUTOG CIRCLE
SILVERDALE WA 98315-1101
N44255 7. ADMINISTERED BY (If other than item 6)
4. REQUISITION/PURCHASE REQ. NO.
CODE
See Item 6
CITY OF BREMERTON
DEPARTMENT PUB WORKS UTILITIES
100 OYSTER BAY AVE N
BREMERTON WA 98312-3455
FACILITY CODE04DN7CODE
chuck.benson@navy.milEMAIL:360-396-0735TEL:
CHARLES D. BENSON / CONTRACTING OFFICER
Modification Control Number:bensoncd22184
N4425521C1004
P00001
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION F - DELIVERIES OR PERFORMANCE
The following have been added by full text:
P00001 CORRECTS POP
This modification changes the Delivery Information as follows:
From:
CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /
CAGE
0001 POP 03-MAY-2021 TO N/A N/A
02-MAY-2031 FOB: Destination
0002 POP 03-MAY-2021 TO N/A N/A
02-MAY-2031 FOB: Destination
0003 POP 03-MAY-2021 TO N/A N/A
02-MAY-2031 FOB: Destination
0004 POP 03-MAY-2021 TO N/A N/A
02-MAY-2031 FOB: Destination
To:
CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /
CAGE
0001 POP 04-SEP-2021 TO N/A N/A
03-SEP-2031 FOB: Destination
0002 POP 04-SEP-2021 TO N/A N/A
03-SEP-2031 FOB: Destination
0003 POP 04-SEP-2021 TO N/A N/A
03-SEP-2031 FOB: Destination
0004 POP 04-SEP-2021 TO N/A N/A
03-SEP-2031 FOB: Destination
All other terms and conditions remain unchanged as a result of this modification.
(End of Summary of Changes)