HomeMy WebLinkAbout3873 P00011-P000022 EFF 12.1.2006 to 5.1.2013 pg 230-297EXCEPTION 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)
P00022 01 -May -2013
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item 6) CODE
NAVFAC NORTHV EST
See Item 61101TAUTOGCIRCLE
SILVFRDALE 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 -96-M-2292
X
lOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
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: jacada1013628
Prepared by: Begley, Brian
REASON CODE PLAN
The purpose of this modification is to Incorporate 2013 Qty of Bremerton Utility Rates [AWOrdinance 5213 "Exhibit A, Assessments, Rates,
Fees, and Charges effective May 1, 2013. Pease see Page 2 for 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 / CONTRACTING OFFICER
TEL 360-3960987 EMAIL: brian.begley@anavyrnI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY5 13 -Jun -2013
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
P00022
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 modified:
PAGE 2 SUMMARY OF CHANGES
The purpose of this modification is to incorporate the City of Bremerton Ordinance No. 5213 "Exhibit A,
Assessments, Rates, Fees, and Charges effective May 1, 2013. The Ordinance was published by the Bremerton City
Council on 5 April 2013. The rate changes impact water, sewer, fireline, and irrigation accounts associated with
CLIN 0001 and stormwater accounts associated with CLIN 0002.
CLIN 0001 ACCOUNTS
Utility Account Government Account Utility Service Modifications that
Number Number Location incorporated these accounts
13-0177-0 NW-43—FW—NM—BR-005 Fireline 808 Burwell St P00014 (transferred from
contract N44255 -96C-2288)
54-5940-0 NW_43_ FW_ NM_ CM_ 001 Water Camp McKean At Award
NW 43 SE NM CM 002 Sewer
25-0235-1 NW-43—FW—NM—BR-004 Fireline 300 S Wycoff P00006
25-0230-1 NW 43 SE NM BR 002 Sewer 300 S Wycoff At Award
NW 43 FW NM BR 003 Water
13-0258-0 NW 43 SE NM PG 002 Sewer 400 Park P00010
NW-43—FW—NM—PG-001 Water Avenue,
Parking Garage
13-0286-0 NW-43—FW—NM—PG-002 Irrigation 400 Park P00009
Avenue,
Parking Garage
46-2690-0 NW-43—FW—NM—CA-001 Water Bremerton P00016 (transferred from
Airport contract N44255 -96C-2288)
13-0176-0 NW-43—FW—NM—BR-006 Water/Sewer 808 Burwell St. P00014 (transferred from
contract N44255 -96C-2288)
CLIN 0002 ACCOUNTS
13-0176-0 NW-43—FW—NM—BR-006 Stormwater 808 Burwell St. P00015
13-0258-0 NW-43—FW—NM—PG-001 Stormwater 400 Park P00015
Avenue,
Parking Garage
25-0230-1 NW-43—FW—NM—BR-003 Stormwater 300 S Wycoff P00015
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)
P00023 01 -Jan -2014
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item 6) CODE
NAVFAC NORTHV EST
See Item 61101TAUTOGCIRCLE
SILVFRDALE 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 -96-M-2292
X
lOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
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 Unregulated Services
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: jacada1014229
Prepared by: Begley, Brian
REASON CODE PLAN
The purpose of this modification is to Incorporate the 2014 City of Bremerton Utility Rates [AWOrdinance 5228 "Exhibit A, Assessments,
Rates, Fees, and Charges, " effective January 1, 2014. Pease see Page 2 for 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 / CONTRACTING OFFICER
TEL 360-3960987 EMAIL: brian.begley@anavyrnI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY5 17 -Mar -2014
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
P00023
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 modified:
PAGE 2 SUMMARY OF CHANGES
The purpose of this modification is to incorporate the City of Bremerton Ordinance No. 5228 "Exhibit A,
Assessments, Rates, Fees, and Charges," effective January 1, 2014. The Ordinance was published by the Bremerton
City Council on 11 November 2013. The rate changes impact water, sewer, fireline, and irrigation accounts
associated with CLIN 0001 and stormwater accounts associated with CLIN 0002.
CLIN 0001 ACCOUNTS
Utility Account Government Account Utility Service Modifications that
Number Number Location incorporated these accounts
13-0177-0 NW-43—FW—NM—BR-005 Fireline 808 Burwell St P00014 (transferred from
contract N44255 -96C-2288)
54-5940-0 NW_43_ FW_ NM_ CM_ 001 Water Camp McKean At Award
NW 43 SE NM CM 002 Sewer
25-0235-1 NW-43—FW—NM—BR-004 Fireline 300 S Wycoff P00006
25-0230-1 NW 43 SE NM BR 002 Sewer 300 S Wycoff At Award
NW 43 FW NM BR 003 Water
13-0258-0 NW 43 SE NM PG 002 Sewer 400 Park P00010
NW-43—FW—NM—PG-001 Water Avenue,
Parking Garage
13-0286-0 NW-43—FW—NM—PG-002 Irrigation 400 Park P00009
Avenue,
Parking Garage
46-2690-0 NW-43—FW—NM—CA-001 Water Bremerton P00016 (transferred from
Airport contract N44255 -96C-2288)
13-0176-0 NW-43—FW—NM—BR-006 Water/Sewer 808 Burwell St. P00014 (transferred from
contract N44255 -96C-2288)
CLIN 0002 ACCOUNTS
13-0176-0 NW-43—FW—NM—BR-006 Stormwater 808 Burwell St. P00015
13-0258-0 NW-43—FW—NM—PG-001 Stormwater 400 Park P00015
Avenue,
Parking Garage
25-0230-1 NW-43—FW—NM—BR-003 Stormwater 300 S Wycoff P00015
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 4
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00024 01 -Jan -2015
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (If other than item 6) CODE
NAVFAC NORTHWEST
See Item 61101TAUTOGCIRCLE
SILVFRDALE WA 98315-1101
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 -96-K-2292
X
lOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended asset forth in Item 14. The hour and date specified for receipt of Offer El is extended, El is not extended.
Offermustacknowledge receipt ofthis amendmentpriorto the hour and date specified in the solicitation oras amended by one ofthe 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 YOURACKNOWLEDGMENT 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. Ifby 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 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 Unregulated Services
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: jacada1015229
Prepared by: Begley, Brian
REASON CODE PLAN
The purpose of this modification is to Incorporate the 2015 City of Bremerton Utility Rates IAW Ordinance 5265 "Exhibit A, Assessments,
Rates, Fees, and Charges, " effective January 1, 2015. Pease 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 w ork as herein revised.
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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
BRIAN BEGLEY / CONTRACTING OFFICER
TEL 360-3960987 EMAIL: brian.begley@navy.mil
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY--'5 23 -Feb -2015
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
P00024
Page 2 of 4
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 30 - BLOCK 14 CONTINUATION PAGE
The following have been modified:
PAGE 2 SUMMARY OF CHANGES
The purpose of this modification is to incorporate the 2015 City of Bremerton utility rates IAW Ordinance No. 5265
Exhibit A, Assessments, Rates, Fees, and Charges," effective January 1, 2015. The Ordinance was published by the
Bremerton City Council on 25 November 2014. The rate changes impact water, sewer, fireline, and irrigation
accounts associated with CLIN 0001 and stormwater accounts associated with CLIN 0002.
CLIN 0001 ACCOUNTS
Utility Account Government Account Utility Service Modifications that
Number Number Location incorporated these accounts
13-0177-0 NW-43—FW—NM—BR-005 Fireline 808 Burwell St P00014 (transferred from
contract N44255 -96C-2288)
54-5940-0 NW_43_ FW_ NM_ CM_ 001 Water Camp McKean At Award
NW 43 SE NM CM 002 Sewer
25-0235-1 NW-43—FW—NM—BR-004 Fireline 300 S Wycoff P00006
25-0230-1 NW 43 SE NM BR 002 Sewer 300 S Wycoff At Award
NW 43 FW NM BR 003 Water
13-0258-0 NW 43 SE NM PG 002 Sewer 400 Park P00010
NW-43—FW—NM—PG-001 Water Avenue,
Parking Garage
13-0286-0 NW-43—FW—NM—PG-002 Irrigation 400 Park P00009
Avenue,
Parking Garage
46-2690-0 NW-43—FW—NM—CA-001 Water Bremerton P00016 (transferred from
Airport contract N44255 -96C-2288)
13-0176-0 NW-43—FW—NM—BR-006 Water/Sewer 808 Burwell St. P00014 (transferred from
contract N44255 -96C-2288)
CLIN 0002 ACCOUNTS
13-0176-0 NW-43—FW—NM—BR-006 Stormwater 808 Burwell St. P00015
13-0258-0 NW-43—FW—NM—PG-001 Stormwater 400 Park P00015
Avenue,
Parking Garage
25-0230-1 NW-43—FW—NM—BR-003 Stormwater 300 S Wycoff P00015
All other terms and conditions remain unchanged
SECTION A - SOLICITATION/CONTRACT FORM
The 'Payment will be made by' organization has changed from
DFASCLEVELAND
NORFOLK ACCOUNTS PAYABLE
N44255 -96-M-2292
P00024
Page 3 of 4
PO BOX 998022
CLEVELAND OH 44199
to
DFASCLEVELAND
ACCOUNTSPAYABLE
PO BOX 998022
CLEVELAND OH 44199-8022
SECTION B - SUPPLIES OR SERVICES AND PRICES
Global Changes
CLIN 0001 -- CLIN 0002
The pricing detail quantity has increased by 1.00 from 0.00 to 1.00.
The unit of issue Each has been added.
SECTION F - DELIVERIES OR PERFORMANCE
The following Delivery Schedule item for CLIN 0001 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -DEC -3000 0 N/A
FOB: Destination
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -DEC -3000 1 NAVFAC NORTHWEST N44255
BRIAN BEGLEY
1101 TAUTOG CIRCLE
SILVERDALE WA 98315-1101
360-396-0987
FOB: Destination
The following Delivery Schedule item for CLIN 0002 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -DEC -3000 0 N/A
FOB: Destination
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
N44255 -96-M-2292
P00024
Page 4 of 4
31 -DEC -3000 1 NAVFAC NORTHWEST N44255
BRIAN BEGLEY
1101 TAUTOG CIRCLE
SILVERDALE WA 98315-1101
360-396-0987
FOB: Destination
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 4
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00013 01 -Jan -2006
6.ISSUED BY CODE N44255 7.ADMINISTEREDBY (Ifother than item 6) CODE
NAVFAC NORTHv\EST
See Item 61101TAUTOGCIRCLE, SUITE203
SILVFRDALE 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) 3027 OLYMPUS DR
BREMERTON WA98310-4799
X IOA 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 above numbered solicitation is amended asset firth in Item 14. The hour and date specified for receipt of0ffer 11 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 offer submitted;
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. 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.
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 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: koemj06675
This modification is issued to incorporate water and sewer rate increases as show In on the following pages.
The contract number for various modifications is corrected as shown on the following pages.
The issue office is updated as show In in block 6 of the SF 30 modification.
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)
CHARLES D. BENSON /CONTRACT SPECIALIST
TEL 360-3960052 EMAIL: chuckbenson@navy.rril
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
fir "" •; •, BY r M..µ, 27 -Mar -
2008 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.
N44255 -96-M-2292
P00013
Page 2 of 4
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
The following items are applicable to this modification:
RATES
This modification is issued to identify rate increases for the locations listed on the Table below. The rates are in
accordance with Ordinance 4956 water and sewer rate increase effective 01 Janaury 2006. Ordinance 4961 revised
Ordinance 4956 to increase the sewer rates only effective 09 January 2006.
4 z
77
77
17' 1 4
r7 r7
In
4L.
717
N44255 -96-M-2292
P00013
Page 3 of 4
1,
f /
N44255 -96-M-2292
P00013
Page 4 of 4
MODIFICATION CORRECTIONS
Block l0A of the following contract modifications is corrected to read N44255 -96-M-2292 in lieu of N44255 -96-C-
2292:
P00001 effective 01 February 1998
P00002 effective 01 March 1998
P00003 effective 01 January 1999
P00004 effeictive 29 November 1999
Page two (2) of modification P000997, effective 17 Novbember 1999 for the City of Bremerton is corrected to read
N44255 -96-M-2292 in lieu of N44255 -96-C-2292.
SUMMARY OF CHANGES
SECTION F - DELIVERIES OR PERFORMANCE
The following Delivery Schedule item for CLIN 0001 has been changed from:
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -MAR -2006 N/A
FOB: Destination
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -DEC -3000 0 N/A
FOB: Destination
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
L CONTRACTID 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.(Ifappli cable)
P00011 01 -Dec -2006
6.ISSUED BY CODE N44255 7.ADMINISTEREDBY (Ifother than item 6) CODE
NAVFAC NORTHv\EST
See Item 61101TAUTOGCIRCLE, SUITE203
SILVFRDALE WA98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO.
CITY OF BREMERTON
3027 OLYMPUS DR 9B. DATED (SEE ITEM 11)
BREMERTON WA98310-4799
X IOA MOD. OF CONTRACT/ORDER NO. N44255 -96-K-2292
X
IOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended asset firth in Item 14. The hour and date specified for receipt of0ffer 11 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 offer submitted;
or (c) By separate letter or telegramwhichincludes 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 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. 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: ticec061316
change paying office from DFAS Norfolk to DFAS Cleveland, OH
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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 3960230 EMAIL: Paul.Anishanslin@navy.rril
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNNIITED STATES OF AMERICA 16C. DATE SIGNED
BY !— .—¢ 26 -Sep -2006
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
P00011
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 NORFOLK
1837 MORRIS ST, STE 1401
NORFOLK VA 23511-3297
to
DFAS CLEVELAND
NORFOLK ACCOUNTS PAYABLE
PO BOX 998022
CLEVELAND OH 44199
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 3
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00012 31 -Aug -2007
6.ISSUED BY CODE N44255 7.ADMINISTEREDBY (Ifother than 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) 3027 OLYMPUS DR
BREMERTON WA98310-4799
X IOA MOD. OF CONTRACT/ORDER NO. N44255 -96-K-2292
X
IOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended asset firth in Item 14. The hour and date specified for receipt of0ffer 11 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 offer submitted;
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. 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 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: nilesj07854
Reason Code: ADM
Add Government Account Number to the address block.
All other terms and conditions remain unchanged and in full force and effect.
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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 3960230 EMAIL: Paul.Anishanslin@navy.rril
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
BY P 13 -Aug -2007
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
P00012
Page 2 of 3
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:
SUMMARY OF CHANGES
This modification implements a new automated invoice process/paying application. Invoices are
to be mailed directly to the below address with a representative Government Account Number
included in the second line of the address to ensure accurate processing of invoices.
1. Submit copy of all invoices to:
U.S. NAVY
Insert Government Account Number)
P.O. BOX 30088
COLLEGE STATION, TEXAS 77842-3088
2. All other terms and conditions remain unchanged.
CITY OF BREMERTON ACCOUNTS:
Utility Account Number
GOVERNMENT
ACCOUNT NUMBER Contract No. Service Location Site Name
2502351 NW 43 FW 00004 N44255 -96-M-2292 300 S Wycoff Ave Bremerton
1302860 NW 43 FW 00005 N44255 -96-M-2292 400 Park Ave Bremerton
1302580 NW-43—FW-00006 N44255 -96-M-2292
400 Park Ave, Parking
Garage Bremerton
2502301 NW 43 FW 00003 N44255 -96-M-2292 300 S Wycoff Ave Bremerton
5459400 NW 43 FW 00001 N44255 -96-M-2292 Camp Mckean Bremerton
SECTION B - SUPPLIES OR SERVICES AND PRICES
CLIN 0001
The unit price amount has increased by $1.00 from $0.00 to $1.00.
SECTION F - DELIVERIES OR PERFORMANCE
The following Delivery Schedule item for CLIN 0001 has been changed from:
To:
N44255 -96-M-2292
P00012
Page 3 of 3
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -MAR -2006 N/A
FOB: Destination
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -DEC -3000 0 N/A
FOB: Destination
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 3
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00014 26 -Mar -2008
6.ISSUED BY CODE N44255 7.ADMINISTEREDBY (Ifother than item 6) CODE
NAVFAC NORTH\PoEST
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) 3027 OLYMPUS DR
BREMERTON WA98310-4799
X IOA 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 above numbered solicitation is amended asset firth in Item 14. The hour and date specified for receipt of0ffer 11 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 offer submitted;
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. 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 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: bensoncd08486
The purpose of this modification is to transfer tw o accounts into this contract as show In on 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)
CHARLES D. BENSON /CONTRACT SPECIALIST
TEL 360-3960052 EMAIL: chuckbenson@navy.rril
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
fir "" •; •, BY r M..µ, 07 -Apr -
2008 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.
N44255 -96-M-2292
P00014
Page 2 of 3
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
1) This modification incorporates the following accounts on to this contract:
1301760 - Water service
1301770 — Fireline
Both accounts are for the building located at 808 Burwell Street on Naval Base Kitsap —
Bremerton.
2) Water rates charged on this contract shall be in accordance with the City of Bremerton's
most current rates and charges for the "Within'City Limits" category as shown in Appendix A of
Chapter 15.06 — Assessments, Rates, Fees, and Charges as found in the City of Bremerton
Municipal Code. This Municipal Code may also be found at the City's website at the following
link:
htip://www.codepublishing. com/WA/Bremerton/bremerton l 5/bremerton l 5O6.html
Any future changes to water or sewer rates as may be implemented by the City of Bremerton are
subject to the provisions of FAR Clause 52.241-8, "Change in Rates or Terms and Conditions of
Service for Unregulated Services."
3) Invoices are to be mailed directly to the below address with a representative Government
Account Number included in the second line of the address to ensure accurate processing of
invoices.
1. Submit copy of all invoices to:
U.S. NAVY
Insert Government Account Number)
P.O. BOX 30088
COLLEGE STATION, TEXAS 77842-3088
Utility Account Number
GOVERNMENT
ACCOUNT NUMBER Contract No. Service Location Site Name
1301770 NW 43 FW 00008 N44255 -96-C-2292 808 Burwell ST Bremerton
1301760 NW 43 FW 00009 N44255 -96-C-2292 808 Burwell ST Bremerton
3) All other terms and conditions remain unchanged.
N44255 -96-M-2292
P00014
Page 3 of 3
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 3
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00015 15 -Aug -2008
6.ISSUED BY CODE N44255 7.ADMINISTEREDBY (Ifother than item 6) CODE
NAVFAC NORTH\PoEST
See Item 61101TAUTOGCIRCLE, SUITE203
SILVFRDALE 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) 3027 OLYMPUS DR
BREMERTON WA98310-4799
X IOA MOD. OF CONTRACT/ORDER NO. N44255 -96-K-2292
X
IOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
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 11 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 offer submitted;
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. 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.
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 52-243-1 Alternative 1 (Apr 84) Changes - Fixed Price
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: murphyc08944
Add contract line item for stormw ater utility. See page 2 for description of CLIN.
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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 3960230 EMAIL: Paul.Anishanslin@navy.rril
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
BY P 13 -Aug -2008
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
P00015
Page 2 of 3
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION B - SUPPLIES OR SERVICES AND PRICES
CLIN 0002 is added as follows:
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0002 $1.00 $0.00
Stormwater
FFP
Bremerton, WA (Base Support Area) This CLIN is established to add Navy
properties on the periphery of the Shipyard/Naval Base Bremerton that directly
contribute stormwater to a City -owned and maintained stormwater collection
system. Monthly rate will be based on the amount of impervious surface units
ISU) contributing run-off to City collection systems. One ISU is equivalent to
2,500 square feet. The rate for one ISU is $8.03/month. The three areas being
added to the contract are: (1) Craven Center located on the NW corner of Burwell
Street and Park Ave. It has an area of 175 x 105 feet of impervious area or 7.35
ISUs and will be added to account 1301760. (2) The Navy Parking Garage
located on Park Avenue, between 4th and 5th streets has two areas, a 300' by 185'
and a 70' by 70' impervious area. There is landscaping in this area that accounts
for 23 ISUs and therefore the total Parking Garage accountd for 24.16 ISUs and
will be added to account 1302580. (3) The Navy property located south of Rodgers
Street between Charleston Blvd. and S. Callow Ave. This property is 440'x 200'
or 35.2 ISUs and will be added to account 2502301.
Per mutual agreement of parties during negotiations held March 2008, all
stormwater rates are effective retroactively to 01 December 2007.
Future adjustments of rates will be in accordance with Bremerton Muncipal Code
15.06, Assessments, Rates, Fees and Charges, as may be amended.
FOB: Destination
NET AMT
SECTION E - INSPECTION AND ACCEPTANCE
The following Acceptance/Inspection Schedule was added for CLIN 0002:
INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY
N/A N/A N/A Government
SECTION F - DELIVERIES OR PERFORMANCE
The following Delivery Schedule item has been added to CLIN 0002:
0.00
N44255 -96-M-2292
P00015
Page 3 of 3
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
31 -DEC -3000 0 N/A
FOB: Destination
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)
P00016 01 -Aug -2008
6.ISSUED BY CODE N44255 7.ADMINISTEREDBY (Ifother than item 6) CODE
NAVFAC NORTH\PoEST
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) 3027 OLYMPUS DR
BREMERTON WA98310-4799
X IOA MOD. OF CONTRACT/ORDER NO. N44255 -96-K-2292
X
IOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
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 11 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 offer submitted;
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. 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 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: begleyb0994
The purpose of this modification is to transfer one account into this contract as shown on 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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 3960230 EMAIL: Paul.Anishanslin@navy.rril
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
BY P 12 -Nov -2008
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
P00016
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
1) This modification incorporates the following account to this contract:
4626900 - Water service
This account (4626900), Parcel Number (122301-2-009-1003), Meter Number (61434737),
located at the Bremerton Airport in Bremerton, WA is retroactive to 1 Aug 2008, and is to be
billed at the 5/8"monthly meter rate.
2) Water rates charged on this contract shall be in accordance with the City of Bremerton's most
current rates and charges for the "Within'City Limits" category as shown in Appendix A of
Chapter 15.06 — Assessments, Rates, Fees, and Charges as found in the City of Bremerton
Municipal Code. This Municipal Code may also be found at the City's website at the following
link:
htlp://www.codepublishing. com/WA/Bremerton/bremerton l 5/bremerton l 5O6.html
Any future changes to water or sewer rates as may be implemented by the City of Bremerton are
subject to the provisions of FAR Clause 52.241-8, "Change in Rates or Terms and Conditions of
Service for Unregulated Services."
3) Invoices are to be mailed directly to the below address with a representative Government
Account Number included in the second line of the address to ensure accurate processing of
invoices.
1. Submit copy of all invoices to:
U.S. NAVY
NW_43_FW_00010
P.O. BOX 30088
COLLEGE STATION, TEXAS 77842-3088
Utility Account
Number
GOVERNMENT
ACCOUNT NUMBER Contract No. Service Location Site Name
4626900 NW 43 FW 00010 N44255 -96-C-2292 Bremerton Airport US Bremerton, WA
3) 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 3
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(Ifapplicable)
P00017 01-NOV-2009
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item6) CODE
NAVFAC NORTHWEST See Item 61101TAUTOGCIRCLE,SUITE 203
SILVERDALE WA 98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICIT AT ION NO.
C ITY OF BREM ERTON
9B. DATED (SEE ITEM 11) 3027 OLYMPUS DR
BREMERTON WA 98310-4799
X 1OA MOD. OF CONTRACT/ORDER NO. N44255-96-%2292
X
IOB. DATED (SEE ITEM 13)
I 22 -Dec -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is anrnded asset forth in Item 14. The hour and date specified for receipt of0ffer El is extended, El is not extended.
Offer must acknowledge receipt ofthis anrndment prior to the hour and date specified in the solicitation or as anrnded by one ofthe following nrthods:
a) By completing Items 8 and 15, and returning copies ofthe anrndnrnt; (b) By acknowledging receipt ofthis amendnent on each copy ofthe offer submitted;
or (c) By separate letter or telegramwhich includes areference to thesolicitation and anrndtnent nunhers. 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 amendnent you desire to change an offer already submitted, such change may be madeby telegramor letter,
provided each telegramor letter makes reference to the solicitation and this anrndnent, 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 CONT RACT 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. 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: kellyp1024
ADMIN - CHANGE INVOICING ADDRESS
Except as provided herein, all terms and conditions ofthe docunent referenced in Item9A 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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 396-0230 EMAIL: Paul.Anishanslin@navy.mil
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
d
BY `— 1P L 15 -Oct -2009
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
P00017
Page 2 of 3
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 30 - BLOCK 14 CONTINUATION PAGE
The following have been deleted:
SUMMARY OF CHANGES
SECTION A - SOLICITATION/CONTRACT FORM
The 'issued by' organization has changed from
NAVFAC EFA NORTHWEST POULSBO
19917 7TH AVE NE
POULSBO WA 98370-7570
to
NAVFAC NORTHWEST
1101 TAUTOG CIRCLE, SUITE 203
SILVERDALE WA 98315-1101
The vendor signature required not required has been added.
The DPAS code has changed from DO -S 1 to DO -C3.
The 'administered by' organization has changed from
NAVFAC EFA NORTHWEST POULSBO
19917 7TH AVE NE
POULSBO WA 98370-7570
to
NAVFAC NORTHWEST
1101 TAUTOG CIRCLE, SUITE 203
SILVERDALE WA 98315-1101
SECTION B - SUPPLIES OR SERVICES AND PRICES
Global Changes
CLIN 0001 -- CLIN 0002
The NAICS code 221310 has been added.
SECTION G - CONTRACT ADMINISTRATION DATA
INVOICING ADDRESS
The purpose of this modification is to change the invoicing address. Please submit your invoices to:
Financial Service Center
Invoice Management Branch
1837 Morris Street, Ste. 200
Norfolk, VA 23511-3435
This modification applies to the following accounts:
Account Number Installation Location
2502301 NBK Bremerton 300 S. Wycoff Water
N44255 -96-M-2292
P00017
Page 3 of 3
Account Number Installation Location
2502301 NBK Bremerton 300 S. Wycoff Sewer
4626900 NBK Bremerton Airport Water
2502351 NBK Bremerton 300 S. Wycoff Fireline
5459400 NBK Bremerton Camp McKean Water
5459400 NBK Bremerton Camp McKean Sewer
1301770 NBK Bremerton Bldg 844 Fireline
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)
P00018 01 -Nov -2009
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item6) CODE
NAVFAC NORTHWEST See Item 61101TAUTOGCIRCLE,SUITE 203
SILVERDALE WA 98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICIT AT ION NO.
C ITY OF BREM ERTON
9B. DATED (SEE ITEM 11) 3027 OLYMPUS DR
BREMERTON WA 98310-4799
X 1OA MOD. OF CONTRACT/ORDER NO. N44255-96-%2292
X
IOB. DATED (SEE ITEM 13)
I 22 -Dec -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is anrnded asset forth in Item 14. The hour and date specified for receipt of0ffer El is extended, El is not extended.
Offer must acknowledge receipt ofthis anrndment prior to the hour and date specified in the solicitation or as anrnded by one ofthe following nrthods:
a) By completing Items 8 and 15, and returning copies ofthe anrndnrnt; (b) By acknowledging receipt ofthis amendnent on each copy ofthe offer submitted;
or (c) By separate letter or telegramwhich includes areference to thesolicitation and anrndtnent nunhers. 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 amendnent you desire to change an offer already submitted, such change may be madeby telegramor letter,
provided each telegramor letter makes reference to the solicitation and this anrndnent, 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 CONT RACT 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. 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: kellyp1060
Change Invoicing Address
Except as provided herein, all terms and conditions ofthe docunent referenced in Item9A 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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 396-0230 EMAIL: Paul.Anishanslin@navy.mil
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
d
BY 1P 27 -Oct -2009
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
P00018
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION B - SUPPLIES OR SERVICES AND PRICES
Global Changes
CLIN 0001 -- CLIN 0002
The FS C code has changed from S 119 to S 114.
SECTION G - CONTRACT ADMINISTRATION DATA
The following have been modified:
INVOICING ADDRESS
The purpose of this modification is to change the invoicing address. Please submit your invoices to:
Financial Service Center
Invoice Management Branch
1837 Morris Street, Ste. 200
Norfolk, VA 23511-3435
P00017 Accounts
Account Number Installation Location
2502301 NBK Bremerton 300 S. Wycoff Water
2502301 NBK Bremerton 300 S. Wycoff Sewer
4626900 NBK Bremerton Airport Water
2502351 NBK Bremerton 300 S. Wycoff Fireline
5459400 NBK Bremerton Camp McKean Water
5459400 NBK Bremerton Camp McKean Sewer
1301770 NBK Bremerton Bldg 844 Fireline
This modification applies to the following accounts:
Account Number Installation Location
4655650 NBK Bremerton Pass & ID Water
4655650 NBK Bremerton Pass & ID Sewer
130176 NBK Bremerton 808 Burwell Water
2409670 NBK Bremerton 1005 Montgomery Water
4655650 NBK Bremerton Ave Parking Water
4655650 NBK Bremerton State Highway 304 Sewer
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)
P00019 20 -Nov -2009
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item6) CODE
NAVFAC NORTHWEST See Item 61101TAUTOGCIRCLE,SUITE 203
SILVERDALE WA 98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICIT AT ION NO.
C ITY OF BREM ERTON
9B. DATED (SEE ITEM 11) 100 OYSTER BAY AVE N
BREMERTON WA 98312-3455
X 1OA MOD. OF CONTRACT/ORDER NO. N44255-96-%2292
X
IOB. DATED (SEE ITEM 13)
I 22 -Deo -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is anrnded asset forth in Item 14. The hour and date specified for receipt of0ffer El is extended, El is not extended.
Offer must acknowledge receipt ofthis anrndment prior to the hour and date specified in the solicitation or as anrnded by one ofthe following nrthods:
a) By completing Items 8 and 15, and returning copies ofthe anrndnrnt; (b) By acknowledging receipt ofthis amendnent on each copy ofthe offer submitted;
or (c) By separate letter or telegramwhich includes areference to thesolicitation and anrndtnent nunhers. 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 amendnent you desire to change an offer already submitted, such change may be madeby telegramor letter,
provided each telegramor letter makes reference to the solicitation and this anrndnent, 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 CONT RACT 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. 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: kellyp1097
ADMN - Address Change - Qty of Bremerton
Except as provided herein, all terms and conditions ofthe docunent referenced in Item9A 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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 396-0230 EMAIL: Paul.Anishanslin@navy.mil
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNNIITED STATES OF AMERICA 16C. DATE SIGNED
d
BY !— 14 L 23 -Nov -2009
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
P00019
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION A - SOLICITATION/CONTRACT FORM
The contractor organization has changed from
CITY OF BREMERTON
3027 OLYMPUS DR
BREMERTON WA 98310-4799
to
CITY OF BREMERTON
100 OYSTER BAY AVE N
BREMERTON WA 98312-3455
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)
P00020 30 -Dec -2009
6. ISSUED BY CODE N44255 7. ADMINISTERED BY (Ifotherthan item6) CODE
NAVFAC NORTHWEST See Item 61101TAUTOGCIRCLE,SUITE 203
SILVERDALE WA 98315-1101
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICIT AT ION NO.
C ITY OF BREM ERTON
9B. DATED (SEE ITEM 11) 100 OYSTER BAY AVE N
BREMERTON WA 98312-3455
X 1OA MOD. OF CONTRACT/ORDER NO. N44255-96-%2292
X
IOB. DATED (SEE ITEM 13)
I 22 -Dec -1997CODE04DN7IFACILITYCODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is anrnded asset forth in Item 14. The hour and date specified for receipt of0ffer El is extended, El is not extended.
Offer must acknowledge receipt ofthis anrndment prior to the hour and date specified in the solicitation or as anrnded by one ofthe following nrthods:
a) By completing Items 8 and 15, and returning copies ofthe anrndnrnt; (b) By acknowledging receipt ofthis amendnent on each copy ofthe offer submitted;
or (c) By separate letter or telegramwhich includes areference to thesolicitation and anrndtnent nunhers. 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 amendnent you desire to change an offer already submitted, such change may be madeby telegramor letter,
provided each telegramor letter makes reference to the solicitation and this anrndnent, 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 CONT RACT 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. 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 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: kellyp10232
Correct Account Numbers from P00017 and P00018. See Page 2.
Except as provided herein, all terms and conditions ofthe docunent referenced in Item9A 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)
PAUL R ANISHANSLIN / LEAD CONTRACT SPECIALIST
TEL: (360) 396-0230 EMAIL: Paul.Anishanslin@navy.mil
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNNIITED STATES OF AMERICA 16C. DATE SIGNED
d
BY !— 14 L 24 -Dec -2009
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
P00020
Page 2 of 2
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION G - CONTRACT ADMINISTRATION DATA
INVOICING
This modification also corrects the account numbers in P00017 and P00018 that should be submitted to:
Financial Service Center
Invoice Management Branch
1837 Morris Street, Ste. 200
Norfolk, VA 23511-3435
The accounts in P00017 and P00018 should have read as follows:
Utility Account Government
Number Account Number Contract Number Service Location Site Name
1301770 NW-43—FW-00008 N44255 -96-M-2292 808 Burwell Street Bremerton
Fireline
1301760 NW-43—FW-00009 N44255 -96-M-2292 808 Burwell Street Bremerton
Water
5459400 NW-43—FW-00001 N44255 -96-M-2292 Camp McKean Camp McKean
Water/Sewer
2502351 NW-43—FW-00004 N44255 -96-M-2292 300 S Wycoff Bremerton
Fireline
2502301 NW-43—FW-00003 N44255 -96-M-2292 300 S Wycoff Bremerton
Water/Sewer
1302580 NW-43—FW-00006 N44255 -96-M-2292 400 Park Avenue Bremerton
Sewerr
1302860 NW-43—FW-00005 N44255 -96-M-2292 400 Park Avenue Bremerton
Water
4626900 NW-43—FW-00010 N44255 -96-M-2292 Bremerton Airport Bremerton
US
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)
P00021 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 -96-K-2292
X
lOB. DATED (SEE ITEM 13)
22 -Dec -1997CODE04DN7IFACILITYCODE
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 52.241-8, Change in Rates or Terms & Conditions for Unregulated Services
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: jacada1012356
REASON CODE PLAN
Pursuant to FAR 52.241-8, Change in Rates and Terms and Conditions of Service for Unregulated Services (Feb 1995), this modification
incorporates the Qty of Bremerton Ordinance No. 5172, attached hereto, implementing new water rates into the contract. The effective
date is January 1, 2012. 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@anavyrnI
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED ST AT ES OF AMERICA 16C. DATE SIGNED
BY5 12 -Apr -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