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Home My WebLink AboutSH16-042 BLM 2016 GRANT MOD - Amendment of Solicitation_Modification of ContractAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES Donald Vicena 15B. CONTRAC R/OFFEROR� 1 1 2 2. AMEN DMENTIMODIFICATION N0, 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. N0, 5. PROJECT NO. (If applicable) 0001 See Block 16C (Signature ofperson authorized to sign) (Signature of Contracting Officer) 6. ISSUED BY CODE LHW 7. ADMINISTERED BY (Ifother than Item 6) CODE LHW BLM OR -SPOKANE DIST OFC(ORW00) BLM OR SPOKANE DIST OFC(ORW00) SA 1103 N FANCHER ROAD 1103 N FANCHER ROAD ��w.• NV SPOKANE WA 99212 SPOKANE WA 99212 o - 14 201, K1TrI7-AS CO 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State andZIPCode) (x) 9A. AMENDMENT OF SOLICITATION NO. CITTITAS, COUNTY OF 9B. DATED (SEE ITEM 11) >ttn: ATTN GOVERNMENT POC 105 W 5TH AVE STE 108 =ENSBURG WA 98926-2887 X 10A. MODIFICATION OF CONTRACT/ORDER N0. L152XO1278 10B. DATED (SEE ITEM 13) 08/21/2015 CODE 0070136992 FACILITY CODE '1'I. 1 Hla I I CIVI UNLi AYYLICA l u AIVICIVUIVICIV I A ur AULM IN I IUIVJ ❑The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers ❑ Is extended, ❑ 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 telegram 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 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. ACCOUNTING AND APPROPRIATION DATA(Ifrequired) Net Decrease: -$465.00 01 13. THIS ITEM ONLYAPPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. ONE I 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 date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). X I Close-out FAR Part 4.804-5 (a) (15) 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.) The period of performance for Supplemental Law Enforcement patrol services under this award has ended; the final payment has been completed. This modification is initiated to de -obligate the remaining funds in the amount of $465.00 and close out this award. LIST OF CHANGES: Reason for Modification : Close Out Total Amount for this Modification: -$465.00 New Total Obligated Amount for this Award: $24,535.00 CHANGES FOR LINE ITEM NUMBER: 10 Total Amount changed from $25,000.00 to $24,535.00 Obligated Amount for this modification: -$465.00 Continued ... Except as provided herein, all terms and conditions of the document referenced in Item 9 A 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 orprint) G1,4 11-C 1- cur"a S;'v tri "1 Donald Vicena 15B. CONTRAC R/OFFEROR� 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED :,) (Signature ofperson authorized to sign) (Signature of Contracting Officer) NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83) Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243 Wol x 'RIFF CONTINUATION SHEETI REFERENCE NO. OF DOCUMENT BEING CONTINUED j�AGE OF L15PX01278/0001 I ? 1 , NAME OF OFFEROR OR CONTRACTOR KITTITAS, COUNTY OF ITEM NO. (A) SUPPLIES/SERVICES (B) QUANTITY (C) UNIT (D) UNIT PRICE (E) AMOUNT (F) CHANGES FOR DELIVERY LOCATION: 0004276620 Amount changed from $25,000.00 to $24,535.00 CHANGES FOR ACCOUNTING CODE: 01 Amount changed from $25,000.00 to $24,535.00 Delivery: 09/30/2016 Payment Terms: PP30 Delivery Location Code: 0004276620 BLM-OR SPOKANE DISTRICT OFFICE* 1103 N FANCHER SPOKANE WA 99212-1275 US Account Assignment: K G/L Account: 6100.252R0 Business Area: L000 Commitment Item: 252R00 Cost Center: LLORW00000 Functional Area: 1,12200000.NU0000 Fund: 15XL1109AF Fund Center: LLORW00000 PR Acct Assign Line: 01 FOB: Destination Period of Performance: 10/01/2015 to 09/30/2016 Change Item 00010 to read as follows(amount shown is the obligated amount): 00010 ACQ- LAW ENFORCEMENT PATROLS KCSO -465.00 NSN 7540-01-152.8067 OPTIONAL FORM 336 (4.86) Sponsored by GSA FAR (48 CFR) 53.110