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Home My WebLink About2012 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 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)