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Home My WebLink About3875 EFF 10.1.2011 3002164-175-2EXCEPTION 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)