HomeMy WebLinkAbout08-18-20 BLM Modification P0001AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
70��CODE
PAGE OF PAGES
Amy Wooldridge
15B. CONTRACTOR/OFFEROR
1 1 2
2. AMENDMENT/MODIFICATION NO.
3. EFFECTIVE DATE
4. REQUISITIONIPURCHASE REQ. NO.
5. PROJECT NO. (Ifapplicable)
P00001
See Block 16C
0040502133
(Signature of Contacting Officer)
6. ISSUED BY CODE LHA
7. ADMINISTERED BY (If other than Item 6) CODE LHA
BLM OR -ST OFC PROC MGMT BR(OR952)
BLM OR STATE OFC PROC MGMT-OR952
1220 SW 3rd Avenue, 12th Floor
1220 SW 3rd Avenue, 12th Floor
PORTLAND OR 97204
PORTLAND OR 97204
8. NAME AND ADDRESS OF CONTRACTOR (No., street, count)6 State and ZIP Code)
(x)
9A. AMENDMENT OF SOLICITATION NO.
(ITTITAS, COUNTY OF
kttn: Kim Dawson
9B. DATED (SEE ITEM 11)
?05 W STH AVE STE 108
,LLENSBURG WA 98926-2887
X
10A. MODIFICATION OF CONTRACT/ORDER NO.
140L432000022
10B. DATED (SEE ITEM 13)
05/19/2020
CODE 0070136992
FACILITY CODE
i i. i nra —m v— —ruco i v mmcnumcn r our avu�r ihi ivna
❑ The above numbered solicitation is amended as set forth in Rem 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 reluming 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 maybe 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 specked.
12. ACCOUNTING AND APPROPRIATION DATA(Ifrequired) Net Increase• $7,500.00
01
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 REM 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 IAW FAR 52.212-4(c) CHANGES
D. OTHER (Specify type ofmodificab'on and authority)
E IMPORTANT: Contractor ❑ is not I] is required to sign this document and return 1 copies to the issuing office.
14. DESCRIPTION OF AMEN DM ENTIMODIFICATION (Organized by UCF section headings, including solicitation/oontract subject matter where feasible.)
Law Enforcement Support Services, Kittitas County, Washington.
a) The purpose of this bilateral modification is to add funding in the amount of $7,500.00
and change the Contracting Officer.
b) This contract is hereby changed to increase the obligation amount from $25,000.00 for
the base year of the contract to $32,500.00 due to an increased presence required in order
to address illegal activity in the area.
c) This modification hereby changes the contracting officer from Kanon Morris to Amy A.
Solomon (Wooldridge).
d) As a result of this modification, the total dollar value of this contract changes from
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)
CI (� l f5) Jr -CA r'f-7c
Amy Wooldridge
15B. CONTRACTOR/OFFEROR
16B. UNITED STATES OF AMERICA
16C. DATE SIGNED
TDATESIGNED
'/�`
(S/gn ro of on a orhed ro n
Pers )
(Signature of Contacting Officer)
Hrevious edition unusable STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
CONTINUATION SHEETI REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
140L432000022/P00001 12 2
NAME OF OFFEROR OR CONTRACTOR
KITTITAS, COUNTY OF
REM NO. SUPPLIES/SERVICES QUANTrFy NIT UNIT PRICE AMOUNT
(A) (B) (C) (D) (E) (F)
$125,000.00 to 5132,500.00, a tota
increase of $7,500.00.
Delivery: 05/01/2021
Delivery Location Code: 0004276620
BLM-OR SPOKANE DISTRICT OFFICE*
1103 N FANCHER
SPOKANE WA 99212-1275 US
Account Assignm: K G/L Account: 6100.252R0
Business Area: L000 Commitment Item: 252R00 Cost
Center: LLORW00000 Functional Area:
1,10200000.NU0000 Fund: 20XL1109AF Fund Center:
LLORW00000 PR Acct Assign: 01
Period of Performance: 05/01/2020 to 04/30/2021
Change Item 00010 to read as follows(amount shown
is the obligated amount):
00010 Base period - Kittitas County Sheriff Patrols 7,500.00
Services
Obligated Amount: $7,500.00
Product/Service Code: R799
Product/Service Description: SUPPORT- MANAGEMENT:
OTHER
NSN 7540-01-152$067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110