HomeMy WebLinkAboutBLM Mod 2AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE
PAGE OF PAGES
1 2
2. AMENDMENT/MODIFICATION NO.
3. EFFECTIVE DATE
4. REQUISITION/PURCHASE REQ. NO.
5. PROJECT NO. (Ifapplicable)
P00002
See Block 16C
0040508956
6. ISSUED BY CODE LHA
7. ADMINISTERED BY (If other than Item 6) CODE
BLM OR -ST OFC PROC MGMT BR(OR952)
1220 SW 3rd Avenue, 12th Floor
PORTLAND OR 97204
8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIPCode)
(x)
9A. AMENDMENT OF SOLICITATION NO.
(ITTITAS, COUNTY OF
kttn: Kim Dawson
9B. DATED (SEE ITEM 11)
?05 W 5TH AVE STE 108
;LLENSBURG WA 98926-2887
x
10A. MODIFICATION OF CONTRACT/ORDER N0,
140L432000022
TO B. DATED (SEE ITEM 13)
05/19/2020
CODE 0070136992
FACILITY CODE
❑ The above numbered solicitation is amended as set forth in hem 14. The hour and date speed 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 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 specified.
12. ACCOUNTING AND APPROPRIATION DATA (If required) Net Increase: $25,000.00
01
13. THIS ITEM ONLY APPUES 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).
ENTERED INTO PURSUANT TO
X I IAW FAR 52.217-9 Option To Extend the Term of the Contract
E. IMPORTANT: Contractor ff] is not ❑ is required to sign this document and return copies to the issuing office.
14. DESCRIPTION OF AMENDMENTIMODIFICATION (Organized by UCF section headings, including solicitahorVoontract subject matter where feasible.)
Law Enforcement Support Services, Kittitas County, Washington.
a) The purpose of this modification is to exercise Option Period One (1), CLIN 0020, for
the Period of Performance from 05/01/2021 to 04/30/2022 in the amount of $25,000.00.
b) As a result of this modification, the value of this purchase order is hereby increased
by $25,000.00; from $32,500.00 to $57,500.00.
LIST OF CHANGES:
Reason for Modification: Exercise an Option
Continued ...
Except as provided herein, all terms and conditions of the document referenced in hem 9 A or 1 OA, as heretofore changed, remains unchanged and in full force and effect
15A. NAME AND TITLE OF SIGNER (Type orprint) 16A. NAME AND TITLE OF CONTRACTING ff
OFFICcR"f r _ signed by AMY
Cl �1'r'� Sh l �
AYdridge WIIjO OLIID�/RIDGE
15B. CON TOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA Date: 2"OE ME T 13:43:45
(jyratuns a person authtirteffto sign) �Q WOOL(SignatureD oribac RID`''-�7 t r
Previous edition unusable STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
CONTINUATION SHEET I REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
140L432000022/P00002 2 2
NAME OF OFFEROR OR CONTRACTOR
KITTITAS, COUNTY OF
REM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
(A) (B) (C) (D) (E) (F)
Period Of Performance End Date changed from
30 -APR -21 to 30 -APR -22
Obligated Amount for this Modification: $25,000.0
New Total Obligated Amount for this Award:
$57,500.00
Buyer changed
from Amy Wooldridge
to Stephanie McBride
Delivery: 09/30/2021
Delivery Location Code: 0004276620
BLM-OR SPOKANE DISTRICT OFFICE*
1103 N FANCHER
SPOKANE WA 99212-1275 US
Account Assignm: K G/L Account: 6100.25280
Business Area: L000 Commitment Item: 252R00 Cost
Center: LLOR940000 Functional Area:
1,10200000.NU0000 Fund: 20XL1109AF Fund Center:
LLOR940000 PR Acct Assign: 01
Period of Performance: 05/01/2021 to 04/30/2022
Change Item 00020 to read as follows(amount shown
is the obligated amount):
00020 Option Period 1 - Kittitas County Sheriff Patrols
Services
Obligated Amount: $25,000.00
Product/Service Code: R799
Product/Service Description: SUPPORT- MANAGEMENT:
OTHER
NSN 7540.01-152-8067
25,000.00
OPTIONAL FORM 336 (4.86)
Sponsored by GSA
FAR (48 CFR) 53.110