HomeMy WebLinkAbout2011 ANNUAL RATE UPDATEEXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
1. CONTRACT ID CODE PAGE OF PAGES
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT J 1 5
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00002 01 -Jan -2011
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item 6) CODE
NAVFAC NORTHv\EST
See Item 61101TAUTOGCIRCLE, SUITE203
SILVERDALE WA98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO.
CITY OF BREMERTON
9B. DATED (SEE ITEM 11) 100 OYSTER BAY AVE N
BREMERTON WA98312-3455
X l0A MOD. OF CONTRACT/ORDER NO. N44255 -08-C-3002
X
lOB. DATED (SEE ITEM 13)
I 30 -Nov -2007CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended as set firth in Item 14. The hour and date specified frreceipt of0ffer El is extended, El is not extended.
Offermust acknowledgereceipt ofthis amendment priorto thehour and date specified in thesolicitation oras amended by oneofthe following methods:
a) By completing Items 8 and 15, and returning copies ofthe amendment, (b) By acknowledging receipt ofthis amendment on each copy ofthe offersubmitted;
or (c) By separate letter or telegramwhich includes areference to the solicitation and amendment numbers. FAILURE OF YOURACKNOWLEDGMENTTO 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. Ifby virtue ofthis amendment you desire to change an offer already submitted, such change maybe madeby 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 CONTRACT S/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. INITEM 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).
X C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
52.241-8, "Change in Rates or Terms and Conditions of Service for Unregulated Se
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter
where feasible.)
Modification Control Number: kellyp10801
Reason CODE: PLANNED
The purpose of this modification is to incorporate the new 2011 Qty of Bremerton water and wastewater rates [AWOrdinance 5132 "Exhibit
A - Assessments, Rates, Fees, and Charges effective January 1, 2011". This modification also incorporates address changes for both the
Qty of Bremerton and the Naval Hospital. See pages 2-5 for further details.
Except as provided herein, all terns and conditions ofthe document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full frce and effect.
15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
BRIAN BEGLEY / CONTRACT SPECIALIST
TEL 360-3960987 EMAIL: brian.begley@anavyrnI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY5 24 -Jan -2011
Signature of person authorized to sign) Signature of Contracting Officer)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
N44255 -08-C-3002
P00002
Page 2 of 5
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION B - SUPPLIES OR SERVICES AND PRICES
The following have been modified:
CLIN 0001
Provide Potable water for NavHosp Brem
FFP
Price for metered water at the Naval Hosptial, Hospital Administration Buildings, and BEQ's shall be based on the
City of Bremerton Ordinance No. 5132 "Exhibit A, Assessments, Rates, Fees, and Charges effective January 1,
2011" - (Within City Limits provided as Attachment J.1 and is based on applicable meter sizes. See Attachment J.2
for account and meter size information.). This Ordinance was passed by the Bremerton City Council on 1 December
2010. FOB: Destination
CLIN 0002
Provide Sewer Serviceto NavHosp Brem
FFP
Price for sewage at Naval Hospital, Hospital Adminstration Buildings and BEQ's shall be based on the City of
Bremerton Ordinance No. 5132 "Exhibit A, Assessments, Rates, Fees, and Charges effective January 1, 2011" -
Retail Commercial I Rate, Within City Limits provided as Attachment J.1. See Attachment J.2 for account and
meter size information.). This Ordinance was passed by the Bremerton City Council on 1 December 2010.
SECTION C - DESCRIPTIONS AND SPECIFICATIONS
The following have been modified:
DESCRIPTION OF SERVICES
C.1 General Requirements: The contractor shall provide all labor, supervision, tools, equipment,
and transportation necessary to provide for services under this contract.
C.2 Premises to be Served:
Naval Hospital Bremerton
Buildings 01, 03, 05, 08, 12, 14, 16, 17, 87, 88 and the Satellite Pharmacy
Boon Road
Bremerton, WA
C.3 Points of DeHvery (P.O.D.):
CLIN — 0001 - Water shall be supplied by the City of Brremerton to the Naval Hospital via the two
connections at Jackson Park Housing (contract N44255 -08-C-3001). One P.O.D. is located near the
southwesterly corner of Jackson Park Housing at Austin Drive and Olding Road, easterly along Olding
Road approximately 400 feet. This P.O.D. is a 10" diameter supply pipe with a 10" meter. The second
P.O.D. is located near the southeasterly corner of Jackson Park Housing, approximately 100 feet beyond
Root Court and this is the 8" supply pipe and meter.
CLIN — 0002 - Wastewater shall be received and metered by the City of Bremerton at the PO.D. near the
City's lift station 416 at the easterly end of Dowell Road.
N44255 -08-C-3002
P00002
Page 3 of 5
C.4 Estimated Service:
CLIN 0001 - WATER
Estimated annual volume: 25,000 HCF
CLIN 0002 - SEWER
Estimated annual Volume: 21,000 HCF
C.5 Service to be Rendered:
WATER: The City shall provide at its expense all necessary facilities and permits required to connect the
City of Bremerton water distribution system to the Government water system at the points of delivery
specified in this contract for the purpose of providing reliable water service to Naval Hospital Bremerton.
The City shall take all reasonable efforts to proivde a peak fire flow demand (combined from both
P.O.D.'s) of 3750 gpm at a residual pressure of approximately 75 prig at the Root Court connection and a
residual pressure of approximately 40 prig at the Olding Road connection. A measure of normal pressures
at the nearest fire hydrants (no hydrant flow) to the P.O.D.'s at the start of this contract show approximately
85 prig at Root Court and 50 prig at Olding Road. The city shall maintain a minimum normal pressure
range within 10% of these pressures at the respective P.O.D.s.
The water supplied will be clear, potable, and safe for human consumption. The water supplied shall be in
accordance with the applicable standards as promulgated by, and as may be revised by, Federal, state, and
local agencies having regulatory authority.
SEWER: The City shall provide at its expense all necessary facilities and permits required to receive,
carry, treat, and dispose of sewage from Naval Hospital Bremerton at the point of delivery specified in this
contract. The City shall receive, carry, treat, and dispose of sewage in a manner, and by such means, as
will not constitute a hazard to the public health. The City shall operate its sewage facilities in conformity
with applicable laws, rules, and regulations as promulgated by, and as may be revised by, Federal, state,
and local agencies having regulatory authority.
C.6 Term of Service: This contract shall be in effect for a period often (10) years after the award
date shown in Block 20C of the SF 26 contract document or until terminated at the option of the
Government by giving written notice to the City of Bremerton not less that 30 days in advance of the
effective date of termination.
C.7 Rate Schedule: Water and Sewer rates charged on this contract shall be in accordance with the
City of Bremerton's current rates and charges for the "Within -City Limits" category as shown in Ordinance
5132 "Exhibit A - Assessments, Rates, Fees, and Charges provided as Attachment J.1. This Exhibit A may
also be found at the city's website at the following link:
htlp://www.ci.bremerton.wa.us/fon-ns/cily/UtililyRates.pdf
Bremerton Naval Hospital is considered "Comercial I" for wastewater services
Attachment J.2 provides a map of meter locations. Attachment J.3 provides a listing of water and sewer
account information.
End of Section C
N44255 -08-C-3002
P00002
Page 4 of 5
SECTION G - CONTRACT ADMINISTRATION DATA
The following have been modified:
CONTRACT ADMINSTRATION
G.1 Pavments: The City shall be paid by the designated disbursing office for services furnished
under the contract at the rates specified. All bills for regular monthly service shall be paid according to the
Prompt Payment Act. The Government shall be entitled to any discounts customarily applicable to
payment of bills by all customers of the City under like conditions of service. The Government shall notify
the City, in writing, within 30 days following receipt of any disputed billing. The Government may pay the
disputed billings in full under protest, pending a negotiated resolution pursuant to an appropriate audit, if
required, and in accordance with the Disputes Clause of the contract.
G. 2 Invoices: Invoices for water and sewage service provided under CLINS 0001 and 0002
shall contain statements of the meter readings at the beginning and end of the billing period, including the
consumption during the billing period. Invoices will also clearly state the negotiated rate(s) or City rate
applied to the appropriate CLINs. The fixed and volumetric components of the appropriate rate(s) shall be
clearly identified. Navy contract number, N44255 -08-C-3002, the individual city utility account and
applicable meter numbers shall also be clearly presented on the invoice. Water and sewage billing shall be
on a monthly basis.
All copies of invoices shall be submitted directly to the following address:
ATTN CODE 08RA
ONE BOONE RD
BREMERTON WA 98312-1894
G.3 Other Communication: All other communication regarding this contract shall be addressed as
follows:
Utility Service Provider CITY OF BREMERTON
100 OYSTER BAY AVE N.
BREMERTON, WA 98312-3455
Government: Department of Navy
Naval Facilities Engineering Command Northwest
Attention: Utilities Contracts
1101 Tautog Circle
Silverdale, WA 98315-1101
GA Accounting and Appropriation Data: The Certifying Official shall cite funding for
recurring services on each invoice. Nonrecurring services will normally be procured through contract
modification and shall be separately invoiced.
G.5 Accounting Procedures: The City shall comply with the requirements of the latest
revised Office of Management and Budget (OMB) Circular A-87, "Cost Principles for State, Local, and
Indian Tribe Governments". Compliance with OMB Circular A-87 will be monitored through Navy review
N44255 -08-C-3002
P00002
Page 5 of 5
of the periodic reports generated by the Budgeting, Accounting, and Reporting System (BARS) of the
Washington State Auditor's Office.
G.6 Rate Changes: The City shall notify the Navy of any rate changes as far in advance as is
reasonable. Changes in rates or terms and conditions of service are subject to the provisions of FAR Clause
52.241-8, "Change in Rates or Terms and Conditions of Service for Unregulated Services (Feb 1995).
All other terms and conditions remain unchanged.
End of Summary of Changes)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
1. CONTRACT ID CODE PAGE OF PAGES
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1 2
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00003 01 -Oct -2011
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item 6) CODE
NAVFAC NORTHv\EST
See Item 61101TAUTOGCIRCLE, SUITE203
SILVERDALE WA98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO.
CITY OF BREMERTON
9B. DATED (SEE ITEM 11) 100 OYSTER BAY AVE N
BREMERTON WA98312-3455
X l0A MOD. OF CONTRACT/ORDER NO. N44255 -08-C-3002
X
lOB. DATED (SEE ITEM 13)
I 30 -Nov -2007CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended as set firth in Item 14. The hour and date specified frreceipt of0ffer El is extended, El is not extended.
Offermust acknowledgereceipt ofthis amendment priorto thehour and date specified in thesolicitation oras amended by oneofthe following methods:
a) By completing Items 8 and 15, and returning copies ofthe amendment, (b) By acknowledging receipt ofthis amendment on each copy ofthe offersubmitted;
or (c) By separate letter or telegramwhich includes areference to the solicitation and amendment numbers. FAILURE OF YOURACKNOWLEDGMENTTO 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. Ifby virtue ofthis amendment you desire to change an offer already submitted, such change maybe madeby 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 CONTRACT S/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. INITEM 10A.
X 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.)
Modification Control Number: kellyp11867
Reason Code: CREQ
Effective October 1, 2011, non-medical facilities domestic water and irrigation accounts will be transferred from Naval Hospital Bremerton to
Commander, Navy Region Northw est, w hich changes the invoicing addresses for some of the accounts. The accounts and invoicing
addersses are listed in Section G of this modification (see page 2).
Except as provided herein, all terns and conditions ofthe 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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
BRIAN BEGLEY / CONTRACT SPECIALIST
TEL 360-3960987 EMAIL: brian.begley@anavymI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY--'5 13 -Sep -2011
Signature of person authorized to sign) Signature of Contracting Officer)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
N44255 -08-C-3002
P00003
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES - SECTION G
Effective October 1, 2011:
1. The purpose of this modification is to transfer non-medical facilities from Naval Hospital Bremerton to
Commander, Navy Region Northwest (COMNAVREGNW).
2. The following accounts transfer to COMNAVREGNW:
Facilijy Description Service/Meter Account
B03 Bachelor Enlisted Quarters Water/09504847 53-5230-0
B05 Bachelor Enlisted Quarters Water/08795807 53-5235-0
B08 Training Facility Water/31112085 53-5280-0
B12 Recreational Fitness Center Water/10598514 53-5245-0
B14 Offices Water/12847850 53-5260-0
B16 Security/Pass & ID Water/11033334 53-5239-0
B88 Facilities Management Water/05320435 53-5275-0
BO1 Main Hospital Building Irrigation/ 14244983 53-5265-0
B05 Bachelor Enlisted Quarters Irrigation/58762560 53-5242-0
B16 Security/Pass & ID Irrigation/14135509 53-5241-0
B17 Family Practice Clinic Irrigation/59180649 53-5285-0
B87 Optics Lab/Medical Repair Irrigation/56262992 53-5250-0
3. COMNAVREGNW accounts invoices shall be submitted directly to the following address:
FINANCIAL SERVICE CENTER
INVOICE MANAGEMENT BRANCH
1837 MORRIS STREET, STE 200
NORFOLK, VA 23511-3435
4. Naval Hospital Bremerton will retain the following acccounts:
Facilijy Description Service/Meter Account
BO1 Main Hospital Building Water/06303601 53-5268-0
BO1 Main Hospital Building Water/0440857 53-5274-0
B17 Family Practice Clinic Water/14155211 53-5289-0
B87 Optics Lab/Medical Repair Water/40019543 53-5248-0
JPO1 Satellite Pharmacy Water/58360437 53-5237-0
BO1 Main Hospital Sewer 53-5269-0
5. Naval Hospital Bremerton accounts invoices shall be submitted directly to the following address:
ATTN: CODE 08RA
ONE BOONE ROAD
BREMERTON, WA 98312-1894
6. All other terms and conditions remain unchanged.
End of Summary of Changes)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
1. CONTRACT ID CODE PAGE OF PAGES
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1 2
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00004 13 -Dec -2011
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item 6) CODE
NAVFAC NORTHv\EST
See Item 61101TAUTOGCIRCLE, SUITE203
SILVERDALE WA98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO.
CITY OF BREMERTON
9B. DATED (SEE ITEM 11) 100 OYSTER BAY AVE N
BREMERTON WA98312-3455
X l0A MOD. OF CONTRACT/ORDER NO. N44255 -08-C-3002
X
lOB. DATED (SEE ITEM 13)
I 30 -Nov -2007CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended as set firth in Item 14. The hour and date specified frreceipt of0ffer El is extended, El is not extended.
Offermust acknowledgereceipt ofthis amendment priorto thehour and date specified in thesolicitation oras amended by oneofthe following methods:
a) By completing Items 8 and 15, and returning copies ofthe amendment, (b) By acknowledging receipt ofthis amendment on each copy ofthe offersubmitted;
or (c) By separate letter or telegramwhich includes areference to the solicitation and amendment numbers. FAILURE OF YOURACKNOWLEDGMENTTO 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. Ifby virtue ofthis amendment you desire to change an offer already submitted, such change maybe madeby 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 CONTRACT S/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. INITEM 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).
X C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
FAR 43.103 (a)
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter
where feasible.)
Modification Control Number: begleyb12180
REASON CODE REQ
The purpose of this modification is to clarify the language in modification P00003 regarding transfer of non-medical facilities from Naval
Hospital Bremerton to COMNAVREGNW. Rease see Page 2 for further details.
All other terms and conditions remain unchanged.
Except as provided herein, all terns and conditions ofthe 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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
BRIAN BEGLEY / CONTRACT SPECIALIST
TEL 360-3960987 EMAIL: brian.begley@anavyrnI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY5 21 -Dec -2011
Signature of person authorized to sign) Signature of Contracting Officer)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
N44255 -08-C-3002
P00004
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
The purpose of this modification is to clarify the language set forth in modification P00003 (Page 2 Number 2 and
Number 4).
2) Per the above referenced modification number, the following accounts under Number 2 that were transferred to
COMNAVREGNW and previously listed as "Water" do include "Sewer" under the same account number:
Facilitv Description Service/Meter Account
B03 Bachelor Enlisted Quarters Water/Sewer 09504847 53-5230-0
B05 Bachelor Enlisted Quarters Water/Sewer 08795807 53-5235-0
B08 Training Facility Water/Sewer 31112085 53-5280-0
B12 Recreational Fitness Center Water/Sewer 10598514 53-5245-0
B14 Offices Water/Sewer 12847850 53-5260-0
B16 Security/Pass & ID Water/Sewer 11033334 53-5239-0
B88 Facilities Management Water/Sewer 05320435 53-5275-0
B01 Main Hospital Building Irrigation/14244983 53-5265-0
B05 Bachelor Enlisted Quarters Irrigation/58762560 53-5242-0
B16 Security/Pass & ID Irrigation/14135509 53-5241-0
B17 Family Practice Clinic Irrigation/59180649 53-5285-0
B87 Optics Lab/Medical Repair Irrigation/56262992 53-5250-0
All 12 accounts in the above table (including "Irrigation") shall be charged under CLIN 0001 (Potable Water for
NAV Hosp Brem) of the basic contract.
4) Per the above referenced modification number, the following accounts (B17, B87, and J782) that were retained by
Naval Hospital Bremerton and previously listed as "Water" do include "Sewer" under the same account number:
Facilitv Description Service/Meter Account
B01 Main Hospital Building Water 06303601 53-5268-0
B01 Main Hospital Building Water 0440857 53-5274-0
B17 Family Practice Clinic Water/Sewer 14155211 53-5289-0
B87 Optics Lab/Medical Repair Water/Sewer 40019543 53-5248-0
J782 Satellite Pharmacy Water/Sewer 58360437 53-5237-0
B01 Main Hospital Sewer 53-5269-0
All 5 accounts in the above table listed as "Water" and "Water/Sewer" shall be charged under CLIN 0001 (Potable
Water for NAV Hosp Brem) of the basic contract. The "Sewer" account 53-5269-0 for the Main Hospital (1301)
shall be charged under CLIN 0002 (Sewer Service for NAV Hosp Brem).
All other terms and conditions remain unchanged.
End of Summary of Changes)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
1. CONTRACT ID CODE PAGE OF PAGES
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT J 1 2
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00005 01 -Jan -2012
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item 6) CODE
NAVFAC NORTHv\EST
See Item 61101TAUTOGCIRCLE, SUITE203
SILVERDALE WA98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO.
CITY OF BREMERTON
9B. DATED (SEE ITEM 11) 100 OYSTER BAY AVE N
BREMERTON WA98312-3455
X l0A MOD. OF CONTRACT/ORDER NO. N44255 -08-C-3002
X
lOB. DATED (SEE ITEM 13)
I 30 -Nov -2007CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended as set firth in Item 14. The hour and date specified frreceipt of0ffer El is extended, El is not extended.
Offermust acknowledgereceipt ofthis amendment priorto thehour and date specified in thesolicitation oras amended by oneofthe following methods:
a) By completing Items 8 and 15, and returning copies ofthe amendment, (b) By acknowledging receipt ofthis amendment on each copy ofthe offersubmitted;
or (c) By separate letter or telegramwhich includes areference to the solicitation and amendment numbers. FAILURE OF YOURACKNOWLEDGMENTTO 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. Ifby virtue ofthis amendment you desire to change an offer already submitted, such change maybe madeby 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 CONTRACT S/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. INITEM 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).
X C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
52.241-8
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter
where feasible.)
Modification Control Number: jacada1012299
REASON CODE PLAN
The purpose of this modification is to incorporate the new 2012 Qty of Bremerton water and wastewater rates [AWOrdinance 5172 "Exhibit
A -Assessments, Rates, Fees, and Charges effective Jan 1, 2012". See page 2 for further details.
Except as provided herein, all terns and conditions ofthe document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full frce and effect.
15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
BRIAN BEGLEY / CONTRACT SPECIALIST
TEL 360-3960987 EMAIL: brian.begley@anavyrnI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY--'5 09 -Feb -2012
Signature of person authorized to sign) Signature of Contracting Officer)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
N44255 -08-C-3002
P00005
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION B - SUPPLIES OR SERVICES AND PRICES
The following has been modified:
CLIN 0001
The CLIN extended description has changed
From: Price for metered water at the Naval Hosptial, Hospital Administration Buildings, and BEQ's shall
be based on the City of Bremerton Ordinance 5132, "Exhibit A, Assessments, Rates, Fees, and Charges
effective January 1, 2011" - (Within City Limits provided as Attachment J.l.and is based on the applicable
meter sizes. See Attachment J.2 for account and meter size information). This Ordinance was passed by the
Bremerton City Council on 1 December 2010. FOB: Destination.
To: Price for metered water at the Naval Hosptial, Hospital Administration buildings, and BEQ's shall be
based on the City of Bremerton Ordinance No. 5172 "Exhibit A, Assessments, Rates, Fees, and Charges
effective January 1, 2012 (Retail Water Service Rates- Within City Limits provided as Attachment J.Iand
is based on applicable meter sizes. See Attachment J.2 for account and meter size information). The
Ordinance was published by the Bremerton City Council on 12 December 2011. FOB: Destination.
CLIN 0002
The CLIN extended description has changed
From: Price for sewage at Naval Hospital, HospitalAdminstration Buildings and BEQ's shall be based on
the City of Bremerton Ordinance 5132 "Exhibit A, Assessments, Rates, Fees, and Charges effective
January 1, 2011" — (Retail Commecial I Rate, Within City Limits provided asas Attachment J.1.See
Attachment J.2 for account and meter size information). This Ordinance was passed by the Bremerton City
Council on 1 December 2010.
To: Price for sewage at Naval Hospital Bremerton, Hospital Adminstration Buildings and BEQ's shall be
based on the City of Bremerton Ordinance 5172 "Exhibit A, Assessments, Rates, Fees, and Charges
effective January 1, 2012 - Retail Commercial I Rate, Within City Limits provided as Attachment J.1. See
Attachment J.2 for account and meter size information). The Ordinance was passed by the Bremerton City
Council on 12 December 2011.
All other terms and conditions remain unchanged.
End of Summary of Changes)