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8/9/2019 08-C-0051 P00004 Change COR
1/6
SEE SCHEDULE
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
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 TIT LE OF SIGNER (Type or print )
30-105-04EXCEPTION TO SF 30
APPROVED BY OIRM 11-84STANDARD FORM 30 (Rev. 1
Prescribed by GSA
FAR (48 CFR) 53.243
SERVICES: Provide Technical and Advisory Services for the USAG-HI Community Relations Program
This modification is issued to change the Contracting Officer's Representative from Miranda Caban to Robert Batangan. See attached
Summary of Changes.
This modification does not change the contract price or performance period.
There are no other changes as a result of this modification.
1. CONTRACT ID CODE PAGE OF PAG
J 1 6
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNE
BY 03-Apr-2009
16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR
(Signature of Contracting Officer)(Signature of person authorized to sign)
8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, Stat e and Zip Code)
9B. DATED (SEE IT EM 11)
X W912CN-08-C-0051
10B. DATED (SEE ITEM 13)
X
9A. AMENDMENT OF SOLICITATION N
03-Mar-2008
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, is not extended.
Offer must acknowledge receipt of this amendment prior to the hour and date s pecified in the sol icitation 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 telegram which includes a reference to the sol icitat ion and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT 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 vi rtue of this amendment you desire to change an o ffer already sub mitt ed, such change may be made by tel egram or lett er,
provided each telegram or letter makes reference to the so licitation and thi s amendment, and is received prior t o the opening hour and date specified.
12. ACCOUNTING AND APPROPRIATION DATA (If required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.
X
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
A. THIS CHANGE ORDER IS ISSUED PURSUANT T O: (Specify author ity) THE CHANGES SET FORTH IN IT EM 14 ARE MADE IN THECONTRACT ORDER NO. IN ITEM 10A.
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT T HE ADMINISTRATIVE CHANGES (such as changes in payingoffice, 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 off ice.
14. DESCRIPT ION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitat ion/contract subject mat terwhere feasible.)
10A. MOD. OF CONTRACT/ORDER NO.
P00004
2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)
6. ISSUED BY
3. EFFECTIVE DATE
03-Apr-2009
CODE
ACA-PACIFIC REGION
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
W912CN 7. ADMINISTERED BY (If other th an item 6)
4. REQUISITION/PURCHASE REQ. NO.
CODE
See Item 6
ANNELLE AMARAL, CONSULTANT
ANNELLE AMARAL
5019 POOLA STREET
HONOLULU HI 96821-1533
4XS12FACILITY CODE4XS12CODE
[email protected]:808.438.6535 x137TEL:
GARY L GEORGE / CHIEF SSPD
Modification Control Number: youngd09766
8/9/2019 08-C-0051 P00004 Change COR
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W912CN-08-C-0051
P00004
Page 2 of 6
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 1449 - CONTINUATION SHEET
DELIVERIES AND PERFORMANCE
The following Delivery Schedule Item for CLIN 0001 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 07-MAR-2008 TO
16-FEB-2009
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 07-MAR-2008 TO
16-FEB-2009
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
The following Delivery Schedule Item for CLIN 0002 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 07-MAR-2008 TO
16-FEB-2009
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
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W912CN-08-C-0051
P00004
Page 3 of 6
POP 07-MAR-2008 TO
16-FEB-2009
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
The following Delivery Schedule Item for CLIN 0003 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 07-MAR-2008 TO
16-FEB-2009
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 07-MAR-2008 TO
16-FEB-2009
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
The following Delivery Schedule Item for CLIN 0004 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 17-FEB-2009 TO
17-MAR-2009
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
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P00004
Page 4 of 6
POP 17-FEB-2009 TO
17-MAR-2009
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
The following Delivery Schedule Item for CLIN 1001 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 17-FEB-2009 TO
16-FEB-2010
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 17-FEB-2009 TO
16-FEB-2010
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
The following Delivery Schedule Item for CLIN 1002 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 17-FEB-2009 TO
16-FEB-2010
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
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Page 5 of 6
POP 17-FEB-2009 TO
16-FEB-2010
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
The following Delivery Schedule Item for CLIN 1003 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 17-FEB-2009 TO
16-FEB-2010
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 17-FEB-2009 TO
16-FEB-2010
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
The following Delivery Schedule Item for CLIN 1004 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 17-FEB-2010 TO
16-MAR-2010
N/A ACA-PACIFIC REGION
MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X236
FOB: Destination
W912CN
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
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W912CN-08-C-0051
P00004
Page 6 of 6
POP 17-FEB-2010 TO
16-MAR-2010
N/A ACA-PACIFIC REGION
ROBERT BATANGAN
RCO-HI BLDG 520 PIERCE ST
FORT SHAFTER HI 96858-5025
808.438.6535 X188
FOB: Destination
W912CN
(End of Summary of Changes)