HomeMy WebLinkAbout3873 P00008 11.16.2005 pg 230-297-4EXCEPTION 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)
P00008 16 -Nov -2005
6.ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item 6) CODE N44255
NAVFAC EFANORTHVAEST POU LSBO
NAVFAC NORTHVAEST POULSBO 199177TH AVE NE
19917 7TH AVE N E POU LSBO WA 98370-7570
POU LSBO WA 98370-7570
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) 3027OLYMPUSDR
BREMERTON WA98310-4799
X I OA MOD. OF CONTRACT/ORDER NO. N44255 -96-M 2292
X
IOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe abovenumbered solicitation is amended as set firth in Item 14. The hour anddatespecified frreceipt of0ffer 11 is extended, El is not extended.
Offermust acknowledgereceipt ofthis amendment prior to the hourand date specified in the solicitation 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 offer submitted;
or (c) By separate letter or telegramwhich includes areference to thesolicitation and amendment numbers. FAILURE OF YOURACKNOWLEDGMENTTO BE
RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOURAND 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. ACCOUNTINGAND 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 IOA.
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: koemj06198
Reason Code: ADNN
Change paying office to read DFAS Norfolk
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)
MELODIE J KOE / CONTRACT SPECIALIST
TEL: (360) 3960263 EMAIL: Melodie.Koe@navyrnI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
BY 20 iz 16 -Nov -2005
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 -96-M-2292
P00008
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION A - SOLICITATION/CONTRACT FORM
The 'Payment will be made by' organization has changed from
DFAS-SAN DIEGO, CODE FPV (VENDOR PAY)
4181 RUFFIN ROAD
SAN DIEGO CA 92123-1819
to
DFAS NORFOLK
1837 MORRIS ST, STE 1401
NORFOLK VA 23511-3297
End of Summary of Changes)