HomeMy WebLinkAboutN44255-96-M-2292 P00026-Signed
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
Prepared by: Begley, Brian
REASON CODE: PLAN
The purpose of this modification is to update the Service Location Addresses for the applicable Navy accounts with the City of Bremerton.
See page 2 for details.
Acceptance of this modification by the Contractor constitutes an accord and satisfaction and represents payment in full for both time and
money and for any and all costs, impact effect, and for delays and disruptions arising out of, or incidental to, the work as herein revised.
1. CONTRACT ID CODE PAGE OF PAGES
J 12
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 05-May-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)
9B. DATED (SEE ITEM 11)
X N44255-96-M-2292
10B. DATED (SEE ITEM 13)
X
9A. AMENDMENT OF SOLICITATION NO.
22-Dec-1997
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:
FAR 43.103 (a)(3)
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.)
10A. MOD. OF CONTRACT/ORDER NO.
P00026
2. AMENDMENT/MODIFICATION NO.5. PROJECT NO.(If applicable)
6. ISSUED BY
3. EFFECTIVE DATE
20-Apr-2016
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
CATHERINE JOHNSON
100 OYSTER BAY AVE N
BREMERTON WA 98312-3455
FACILITY CODE04DN7CODE
brian.begley@navy.milEMAIL:360-396-0987TEL:
BRIAN BEGLEY / CONTRACTING OFFICER
Modification Control Number:jacada1016524
N44255-96-M-2292
P00026
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 30 - BLOCK 14 CONTINUATION PAGE
The following have been added by full text:
UPDATE ACCOUNT ADDRESSES
The purpose of this modification is to update the Service Location Addresses for the below Navy accounts with the
City of Bremerton:
CLIN 0001 ACCOUNTS
Utility Account
Number
Government Account
Number
Utility Service Location
13-0177-0 NW_43_FW_NM_BR_005 Fireline 808 Burwell St
Bremerton, WA 98337
54-5940-0 NW_43_FW_NM_CM_001
NW_43_SE_NM_CM_002
Water
Sewer
Camp McKean
1034 W. Kitsap Lake Rd NW
Bremerton, WA 98312
25-0235-1 NW_43_FW_NM_BR_004 Fireline 300 S Wycoff
Bremerton, WA 98312
25-0230-1 NW_43_SE_NM_BR_002
NW_43_FW_NM_BR_003
Sewer
Water
300 S Wycoff
Bremerton, WA 98312
13-0258-0 NW_43_SE_NM_PG_002
NW_43_FW_NM_PG_001
Sewer
Water
400 Park Avenue, Parking Garage
Bremerton, WA 98337
13-0286-0 NW_43_FW_NM_PG_002 Irrigation 400 Park Avenue, Parking Garage
Bremerton, WA 98337
46-2690-0 NW_43_FW_NM_CA_001 Water Bremerton Airport
8850 SW State Hwy 3
Bremerton, WA 98312
13-0176-0 NW_43_FW_NM_BR_006 Water/Sewer 808 Burwell St.
Bremerton, WA 98337
CLIN 0002 ACCOUNTS
13-0176-0 NW_43_FW_NM_BR_006 Stormwater 808 Burwell St.
Bremerton, WA 98337
13-0258-0 NW_43_FW_NM_PG_001 Stormwater 400 Park Avenue, Parking Garage
Bremerton, WA 98337
25-0230-1 NW_43_FW_NM_BR_003 Stormwater 300 S Wycoff
Bremerton, WA 98312
All other terms and conditions remain unchanged
(End of Summary of Changes)