HomeMy Public PortalAbout2021.05.13 USFSAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 11. CONTRACT ID CODE I PAGE OF PAGES
1 I 3
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 15. PROJECT NO. (If applicable)
P00002 See Block 16C 1030583
6. ISSUED BY CODE 0261
SW IDAHO-NEVADA ACQUISITION CENTER
ATTN
1249 S VINNELL WAY STE 200
BOISE ID 83709-1663
8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
M
2
1
M
CCALL CITY OF
16 E PARK ST
500028221
CCALL ID 83638-3832
CODE 1500028221# FACILITY CODE
7. ADMINISTERED BY (If other than Item 6) CODE I
~ 9A. AMENDMENT OF SOLICITATION NO.
9B. DATED (SEE ITEM 11)
x 10A. MODIFICATION OF CONTRACT/ORDER NO. 12026119P0006
10B. DATED (SEE ITEM 13)
01 /28/2019
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
D The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers D is extended. D is not extended.
Offers 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 electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 letter or electronic communication, provided
each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
12. ACCOUNTING AND APPROPRIATION DATA (lfrequired} Net Increase: $52 ' 622 . 00
See Schedule
13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
CHECK ONE 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 data, 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:
x Mutual Agreement to Add Additional Year to Payment of Fee
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor D 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.)
McCall Airport Oper ation and Maintenance Fee 2019-2021
The purpose of this modification is to exercise option 2 , extending the POP to 31 Dec 21
and changing the CO to Rebecca Martinez and Buyer Max Chavez .
Period Of Performance End Date changed from 31-DEC-20 to 31-DEC-21
Total Amount for this Modification : $2 ,029 .84
New Total Amount for this Version : $52 ,622 .00
New Total Amount for this Awa rd: $155,199 .08
Obligated Amount f or this Modification : $52 ,622 .00
New Total Obligated Amount for this Award : $155,199 .08
Buyer changed
Continued ...
Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 1 OA, 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) ~o~Qv+ s ... (? l\~s REBECCA A. MARTINEZ
15C. DATE SIGNED 16B. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
16C. DATE SIGNED
STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
REFERENCE NO. OF DOCUMENT BEING CONTINUED
CONTINUATION SHEET 12026119P0006/P00002
NAME OF OFFEROR OR CONTRACTOR
MCCALL CITY OF
ITEM NO.
(A)
SUPPLIES/SERVICES
(B)
from MATTHEW A MORRIS
to MAX A CHAVEZ
Contracting Officer changed
from MATTHEW A MORRIS
to REBECCA A MARTINEZ
CHANGES FOR LINE ITEM NUMBER : 3
Unit Price changed from $12648 .04000 to
$13155 . 50000
Total Amount changed
from $50,592 .16 to $52 ,622 .00
Obligated Amount for this Modification : $52,622 .00
Start Date Added : 01/01/2021
End Date Added : 12/31/2021
Exercised option
CHANGES FOR DELIVERY LOCATION : 02WW
Amount changed from $50,592 .16 to $52 ,622 .00
NEW ACCOUNTING CODE ADDED :
Account code:
FS00 .0412P4EK5B21
FMMI Account (32) FS00 .0412P4EK5B21
BOC (4) 2570
Quantity: 2
Amount : $26 ,311 .00
Percent : 50
Subject To Funding : N
Payment Address :
NEW ACCOUNTING CODE ADDED:
Account code:
FS00 .0412WFPR1221
FMMI Account (32) FS00.0412WFPR1221
BOC (4 ) 2570
Quantity: 2
Amount : $26,311.00
Percent : 50
Subject To Funding : N
Payment Address :
Continued ...
NSN 7540-01-152-8067
QUANTITY UNIT UNIT PRICE
(C) (D) (E)
OF
AMOUNT
(F)
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR 148 CFR\ 53.110
3
REFERENCE NO. OF DOCUMENT BEING CONTINUED
CONTINUATION SHEET 12026119P0006/P00002
NAME OF OFFEROR OR CONTRACTOR
MCCALL CITY OF
ITEM NO.
(A)
0003
SUPPLIES/SERVICES
(B)
Payment:
INVOICE PROCESSING PLATFORM IPP
ALL INVOICES MUST BE SUBMITTED
ELECTRONICALLY THROUGH THE
INVOICE PROCESSING PLATFORM IPP
VIA WWW IPP GOV
FOB: Destination
Period of Performance : 01/01/2019 to 12/31/2021
Change Item 0003 to read as follows(amount shown
is the obligated amount):
McCall Airport Operation and Maintenance Fee,
2021 , Quarterly payments
Accounting Info :
FS00 .0412WFPR1221 FMMI Account : FS00 .0412WFPR1221
BOC : 2570
Funded : $26 ,311.00
Accounting Info:
FS00 .0412P4EK5B21 FMMI Account : FS00.0412P4EK5B21
BOC : 2570
Funded : $26 ,311.00
Period of Performance : 01/01/2021 to 12/31/2021
NSN 7540-01-152-8067
QUANTITY '-1NIT UNIT PRICE
(C) (D) (E)
4 EA 13,155.50
OF
3
AMOUNT
(F)
52 ,622 .00
OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR 148 CFRI 53.110