§'m · 2017-05-15 · section b • supplies or services and prices item no supplies/services...

47
ORDER FOR SUPPLIES OR SERVICES IPAGE I OF 29 - I. CONTIV\CTIPURCH. ORDER/ Z. DEL!V£R'' ORDER/CALL NO. 3. PATE OF ORDER/CALL 4. REQJ PURCH REQUEST NO. 5 l'lUOIUTY AGREEMENT NO. ('n'YYMMMDD) H0.0034-08-().0()03 0019 2012 Sep27 HQOIW221oOCICI01000 f>.ISSUEDBY CODE I HQ003<4 7. ADMINISTERED BY (ifothel'than 15) CODE WHS • ACQUISillON DIReCTORATE s DELIVERY FOB 2521 SOUTH CI.AAK ST SEE ITEM 6 SUITE 3CIOO AAUNGTON VA 22l.02 OTHER 1See Sc:hedule if other) 9. CONTRACTOR CODEI4CZC8 FACILITY I u DELIVER TO FOB POINT BY (D.ue, I I. MARX IF BUSINESS IS IROHBRIOGE COHSTRUCTION,IHC .-m"YMMMDD) §'"m SH:SCHmUI..E NME SHAWN KOOYMAH SMALL MD 13203 N EHON CHURCH RO 8 WING 8TE 102 DlSCOVNTTEII.MS DISADVANTAGED IIDDRESS CHESTER VA 23836-3122 WOMEN.OV,;o.!£0 13. MAIL INVOICES TO THE ADDRESS IN SLOCK See •am 16 14. SHIP TO CODEIH00107 IS. PAYMENT WILL BE MADE BY CODE I HQ0338 DFOI£TSO OFA6-C0180UTH EN11'1\.EMENT OPEFIA110HS MARK AU.. BENJAMIN BORNS P.O. BOX 1&22114 PACKAGES ,V..l) 100 80UNORY CHANHE4.. ORIVE COLUNSUS OH 43216o22e4 AAUNGTON VA 2%:102-3100 p AJ>ER.S W 1TH IDFNmlCAnON !"llJ'MD fRS l"i BLOCICS 1 ,V..l) 2. 16. g!ttVERY X nus ordc:r/<=8.11 is on anothn Oovc-mmmt liCl"Y or in accordance with and svbJ«t ccnnt an4 nu.t'J'C)etf.d cotnt'XI. TYPE OF PURCHASE your qvored.ut4 ORDER Furnisb ll>clbllowiDA on hmin. REI': ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED SY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE SEEN OR !SNOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITZ?T AGREES TO PERFOR..'-1 THE SAME Wt?::}.C4 'z. 5 .T Cons.ir:uchon!OG c2. h-()Ot- 6 · L1d bf , (EQ NAMEO NTRACTOR SIGNATURE TYPEDNAMEANDTITLE DATESIGN D 0 If this box is marked, supplier must sign Acceptance and rclum the followtng number of copies: (tl"YYMM.!>fDD) 17. ACCOUNT lNG AND APPROPRIATION OAT AI LOCAL USE See Sdledule IS. ITEM NO. 19. SCHEDULE OF SUPPLIES' SERVICES 20. QUANTITY ORDERED 21 UNIT 22 UNIT PRICE 23 AMOUNT ACCEPT EO• SEE SCHEDULE •11 fvanlltyacc•prM '"' Gt>liUn.,Ptt 11 tam#. Gs UNI'ttl) OF H. TOTAL TEI.: 703-515-1623 $7.317.036.81 f"""t/I)I(Jrd.,MI, U•dlcat* X: If dtfff'l'fnt ,.,., <l<:tllQ/ 26. fqvalftlty4t«4PIId "d9w qwllntfly<>l'd•rU DIUI#.rtCircl#. &Y: Lawrence Yates COHTRACT!NG Oi\lll:!'..:l'G OF!':CD. •rro 27a. QUANTITY IN COLUMN 20 HAS BEEN 0INSPECTED ORECEIVED D ACCEPTED, AND CONFORMS TO THE CONTRACT EXCEPT ASNOTED b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE d. PRINTED NAME AND TITLE OF AUTHORIZED ( Y't'I"YMMM DD I GOVERNMENT REPRESEl-IT ATIVE e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP NO. 29. DO VOUCHER NO. 30. INITIALS B PARTIAL 32. PAID SY 33. AMOUNT VERIFIED f. TELEPHONE NUMBER. r E-MAIL ADDRESS FINAL CORRECT FOR 136.1 certify this account Is correct and proper for 31. PAYMENT 34. CHECK NUMBER a. DATE SIGNATURE AND TITLE OF CERTIFYING OFFICER §COMPLETE (YYYYMMMDD) PARTIAL H. BilL OF LADING NO. J:INAL RECEIVED AT r8. RECEIVED BY r9. DATe RECEIVED 40.TOTA!. 41. SIR ACCOUNT NO 42. SIR VOUCHER NO (ITYYMMMDDJ CONTAINERS DO Form 1185, OS:: 2001 PREVIOUS EDIT ION IS OBSOLETE

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Page 1: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

ORDER FOR SUPPLIES OR SERVICES IPAGE I OF 29

-I. CONTIV\CTIPURCH. ORDER/ Z. DEL!V£R'' ORDER/CALL NO. 3. PATE OF ORDER/CALL 4. REQJ PURCH REQUEST NO. 5 l'lUOIUTY

AGREEMENT NO. ('n'YYMMMDD)

H0.0034-08-().0()03 0019 2012 Sep27 HQOIW221oOCICI01000

f>.ISSUEDBY CODE I HQ003<4 7. ADMINISTERED BY (ifothel'than 15) CODE WHS • ACQUISillON DIReCTORATE s DELIVERY FOB 2521 SOUTH CI.AAK ST SEE ITEM 6 ~DESTINATION SUITE 3CIOO AAUNGTON VA 22l.02 OTHER

1See Sc:hedule if other)

9. CONTRACTOR CODEI4CZC8 FACILITY I u DELIVER TO FOB POINT BY (D.ue, I I. MARX IF BUSINESS IS

IROHBRIOGE COHSTRUCTION,IHC .-m"YMMMDD) §'"m SH:SCHmUI..E

NME SHAWN KOOYMAH SMALL MD 13203 N EHON CHURCH RO 8 WING 8TE 102 I~ DlSCOVNTTEII.MS DISADVANTAGED

IIDDRESS CHESTER VA 23836-3122 WOMEN.OV,;o.!£0

13. MAIL INVOICES TO THE ADDRESS IN SLOCK

See •am 16

14. SHIP TO CODEIH00107 IS. PAYMENT WILL BE MADE BY CODE I HQ0338 DFOI£TSO OFA6-C0180UTH EN11'1\.EMENT OPEFIA110HS MARK AU.. BENJAMIN BORNS P.O. BOX 1&22114 PACKAGES ,V..l) 100 80UNORY CHANHE4.. ORIVE COLUNSUS OH 43216o22e4 AAUNGTON VA 2%:102-3100 p AJ>ER.S W 1TH

IDFNmlCAnON !"llJ'MD fRS l"i

BLOCICS 1 ,V..l) 2.

16. g!ttVERY X nus d~~:hvay ordc:r/<=8.11 is iuv~d. on anothn Oovc-mmmt liCl"Y or in accordance with and svbJ«t rt~ ccnnt an4 con4nt~ns of~ov~ nu.t'J'C)etf.d cotnt'XI. TYPE

OF PURCHASE ~c.: your qvored.ut4

ORDER Furnisb ll>clbllowiDA on <<n~>~ s~oci6<4 hmin. REI':

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED SY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE SEEN OR !SNOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITZ?T FOR~ AGREES TO PERFOR..'-1 THE SAME

Wt?::}.C4 'z. 5 .T rc~c* Cons.ir:uchon!OG c2. h-()Ot- 6 · L1d bf , (EQ NAMEO NTRACTOR SIGNATURE TYPEDNAMEANDTITLE DATESIGN D

0 If this box is marked, supplier must sign Acceptance and rclum the followtng number of copies: (tl"YYMM.!>fDD)

17. ACCOUNT lNG AND APPROPRIATION OAT AI LOCAL USE

See Sdledule

IS. ITEM NO. 19. SCHEDULE OF SUPPLIES' SERVICES 20. QUANTITY ORDERED 21 UNIT 22 UNIT PRICE 23 AMOUNT ACCEPT EO•

SEE SCHEDULE

•11 fvanlltyacc•prM ~y '"' Gt>liUn.,Ptt 11 tam#. Gs ~4. UNI'ttl) S~Tt:S OF ~CA

~~~ H. TOTAL TEI.: 703-515-1623 $7.317.036.81 f"""t/I)I(Jrd.,MI, U•dlcat* ~Y X: If dtfff'l'fnt • • ,.,., <l<:tllQ/ ~L:tawrenc•.Yates~~.~l 26. fqvalftlty4t«4PIId "d9w qwllntfly<>l'd•rU DIUI#.rtCircl#. &Y: Lawrence Yates COHTRACT!NG Oi\lll:!'..:l'G OF!':CD. •rro

27a. QUANTITY IN COLUMN 20 HAS BEEN

0INSPECTED ORECEIVED D ACCEPTED, AND CONFORMS TO THE CONTRACT EXCEPT ASNOTED

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE d. PRINTED NAME AND TITLE OF AUTHORIZED ( Y't'I"YMMM DD I GOVERNMENT REPRESEl-IT ATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP NO. 29. DO VOUCHER NO. 30. INITIALS

B PARTIAL 32. PAID SY 33. AMOUNT VERIFIED

f. TELEPHONE NUMBER. r E-MAIL ADDRESS FINAL CORRECT FOR

136.1 certify this account Is correct and proper for pa~ment. 31. PAYMENT 34. CHECK NUMBER

a. DATE ~ SIGNATURE AND TITLE OF CERTIFYING OFFICER §COMPLETE (YYYYMMMDD) PARTIAL H. BilL OF LADING NO.

J:INAL

~7. RECEIVED AT r8. RECEIVED BY r9. DATe RECEIVED 40.TOTA!. 41. SIR ACCOUNT NO 42. SIR VOUCHER NO (ITYYMMMDDJ CONTAINERS

DO Form 1185, OS:: 2001 PREVIOUS EDIT ION IS OBSOLETE

Page 2: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

Section B • Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE

l(b)(4) 0001 Lot

Build Out Fonner Wedge Offices-BOFWO

FFP

Build Out Fonner Wedge Offices-BOFWO: The contractor shaJl perfonn all services in accordance with the SOW specified in Section C.

PURCHASE REQUEST NUMBER: HQO 1972214000 l 000

NETAMT

ACRNAA

HQ0034-08-D-0003

0019

Page 2 of29

AMOUNT

l(b)(4)

l(b}(4)

l(b)(4)

Page 3: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

ITEMNO SUPPLIES/SERVICES QUANITTY UNIT UNITPRJCE

l(b)(4) 0002 Lot

Option 1 :Pentagon Project

FFP

Option l :Pentagon Project: The contractor shall perform all services in accordance with the SOW.

PURCHASE REQUEST NUMBER: HQO 19722140001000

NET A.~

ACRNAA

HQ0034-08-D-0003

0019

Page 3 of29

l(b)(4)

l(b)(4)

l(b)(4)

Page 4: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

ITEM NO SUPPLIES/SERVICES QUANTITY

0003

Option 2: F-rung Corridor Upgrade

FFP

Option 2: F-rung Corridor Upgrade

UNIT

Lot

PURCHASE REQUEST NUMBER: HQO 19722140001000

ACR...l\l' AA

UNIT PRICE

l(b)(4)

NET AMT

HQ0034-08-D-0003

0019

Page 4 of29

AMOUNT

l(b)(4)

l(b)(4)

l(b)(4)

Page 5: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT

0004 Lot

Option 3: Terrazzo

FFP

Option 3: Terrazzo

PURCHASE REQUEST NUMBER: HQ01972214000 I 000

ACRNAA

UNIT PRICE

l(b)(4)

NETAMT

HQ0034-08-D-0003

0019

Page 5 of29

A..MOUNT

l(b)(4)

l(b )(4 )

l(b)(4)

Page 6: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT

0005 Lot

Option 4: Floor Leveling and Protection

FFP

Option 4: Floor Leveling and Protection

PURCHASE REQUEST NUMBER: HQO 19722140001000

ACRNAA

UNIT PRICE

l(b)(4)

NETAMT

HQ003 4-08-D-0003

0019

Page 6 of29

AMOUNT

l(b)(4)

l(b)(4)

l(b)(4)

Page 7: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT

0006 Lot

Option 5: Replacement of Sanitary Line

FFP

Option 5: Replacement of Sanitary Line

PURCHASE REQUEST NUMBER: HQO 19722140001000

ACRNAA

UNIT PRICE

l(b)(4)

NETAMT

HQ0034·08·D·0003

0019

Page 7 of29

A..tvfOUNT

l(b)(4)

l(b)(4)

l(b)(4)

Page 8: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

l(b)(4) 0007 Lot

Contingency

FFP

Contingency : The contractor shall obtain prior approval from the Contracting Officer/COR BEFORE incwring any costs related to this CLIN.

PURCHASE REQUEST NUMBER: HQ01972214000 1000

NET AMT

ACRNAA

HQ0034-08-D-0003

0019

Page 8 of29

A..MOlJNT

l(b)(4)

l(b)(4)

l(b)(4)

Page 9: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

Section E- Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLlN INSPECT AT INSPECT BY

0001 Destination Government

0002 Destination Government

0003 Destination Government

0004 Destination Government

0005 Destination Government

0006 Destination Government

0007 Destination Government

ACCEPT AT

Destination

Destination

Destination

Destination

Destination

Destination

Destination

HQ0034-08-D-0003

0019

Page 9 of29

ACCEPT BY

Government

Government

Govenunent

Government

Government

Government

Government

Page 10: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY

0001 03-MAR-2013 1

0002 03-MAR-2013 1

0003 03-MAR-2013

0004 03-MAR-2013

0005 03-MAR-2013

HQ0034-08-D-0003

0019

Page 10 of29

SHIP TO ADDRESS UIC

DFDIETSD HQ0197

(b)(6)

FOB: Destination

(SAME AS PREVIOUS LOCATION) HQ0197

FOB: Destination

(SAME AS PREVIOUS LOCATION) HQ0197

FOB: Destination

(SAME AS PREVIOUS LOCATION) HQ0197

FOB: Destination

(SAME AS PREVIOUS LOCATION) HQOJ97

FOB: Destination

Page 11: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

0006 03-MAR-2013

0007 03-MAR-20 13

HQ0034-08-D-<l003

0019

Page 11 of29

(SAME AS PREVIOUS LOCATION)

FOB: Destination

(SAME AS PREVIOUS LOCATION)

FOB: Destination

HQ0197

HQ0197

Page 12: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

AMENDMENT OF SOLICITATIONIMODIFIC\TION OF CONTRACT I J 1 I ?

iJ EFFECTI\'~ DAn i~ REQ~ :,;n-:0'- P~ 1'-Ut~Sf' REQ \{) l PR''>il r T ••• llopph<~lli<'

b ISS\'f:D BY

-S· ACOUI!iiTIO~ DIRECTORATE :~1 SOUTH CI.ARKST Sl.tfTE :un ARUNt>TOH VA. 2'£2ll!

CODE

: Jl-Jan-2013 iSEESOtED!JlE

·cHQ"'O<J"'J!4 ____ ~· ,\O~!i;-;ISTEkED ll\ tfothtr thon n<m6.

I

._{.;\)f

See Item 6

S. NAME AND ADORESSOFCONTRACfOR (No., .'ireet, County, Slate nnd ltp Codr:l IRONSRIOGE CONSTRUCTION. INC S11A.- I\OOn.!Ait

l I 'lA. AMENDMENT OF ~LICIT ATIO\ '\0.

I i9B. DAfEDiSCE ITEM II) ll'mN ENOH CHURCH RO B'MNG STE 1112 Cl-lESTER VA 2J836.l1Z1

X r1

! IDA. MOD. OF CONTRACT ORDER '.0. HQ0034..08-D-0003-00 19

' i lOB. DATED iSEE I fE\1 13,

, X 127-Sep-2012

II THIS ITEM ONLY APPUESTO AMENDMENTS OF SOliCIT AT IONS

lb< obn•• nuntl«ed •oltclUioon '' """ad<d"" ,., f>nb on hcm\4 The hour o.nd d01e •P«ticd flrrtwpt ofOI& 0 ,, ..... <~od. 0 os ""' <>Hnded

0 ~r """ &dnowled~~ r<e<!pl ofth" Jrn:qd..,...l pnor 10 the hour and doo< >PC<t6<d 11 the >ol1011110<>n or " •nndrd b~ one o 1'\he Lllo•"n~ 1,..,1ho~>

<>I fly co""l<nn~ he1111 ~ ond !)_ ond "'"mon~ __ copte< of the'~"""'" (i>l8y ocknowl<djtn~ ""'''P' oflhl> •"""dlll<Tll on ooo:h <opy ofth< o~r>ub!Tin<d.

-one I U~ «parole letterorl<'i<t"""wht<b mclude. o r<IOrnco to the >ohcnollon ond omend'""'t • .,..,,,._ fAILIIkE OF YOt;R ,~n;:.OWI_EDG\I[ST JO aE RHTIVFD A TlllE PL.ACE DESIG'-A TED FOR THE IIECEIPTOFOFFERS PRIOR TO ffiE IIOL'R AC.ID DArE SPECIFiED \lAY RES I l T l:o>

REJECTlO~ OF YOl:R OFFER. Hby ''""' ofth" tmond"""' ~ou desue to 'hon~e an olb ol....,dy >ub110 ned, N<ll .:ltan1e mo~ be mode.,_,. oele~romor leuer. pnl'td<d .-.ch ldegfllflor lenertral<<S rekl<!nceto lhe>ohcllouon ond 1b10 ,....,dmont,:tlld "r<eetved pnor 10 theopenong ~our >t>d dlle 'P«<ied

12. ACCOUNTING AND APPROPRIATION OAT A (lfrcq.llred}

See Schedule

13. THIS ITEM APPLIESONL Y TO MODIFICATIONS OF COt. TRACTS-·ORDERS. IT .\10DIFIESTHE CONTRACT ORDER NO, AS DESCRIBED!~ ITE~ 14_

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: ISpec1fy aulhorityl THE CHANGES SET FORTH IN ITEM 14 ARE MADE It'< fHE CONTRACT ORDER NO. IN ITEM lOA.

B THE ABOVE NUMBERED CONTRACf ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVECHA:-..:GES\sr.>::h a~ cllanges 111 paym~ orrtce, aonronriation date, etc,) SET FORTH IN IT EM 14. PURSUANT TO THE AUTHORITY OF FAR 43.1 il31 Bl.

X C THIS SUPPLEMENTAl AGREEMENT IS ENTERED INTO PUR.5UANT TO AUTHORITY OF: FAR 52.243-4 Olanges D. OTHER (Spec1fy type ofmodir~~;ation and a\lliority)

[.IMPORTANT: Contractor 0 is not, w 1s required to sign11iis OO<:wn~nl aml rei um 1 ·:npies 10 1be '"-"""!!office.

14. DESCRIPTION OF AMENDMENT.'MODIFICA TION where fe3Sible.)

IOrg.;~nized by UCF oecliCn hcadmgs, mcluding sollcJtatmn/contract suiject matler

Modirtcallon Control N11111ber. gpinckn1344 The purpose of this rrodiflcaliOn is 10:

1. Aci!T*listratively realign funding in the armunt of $339,260.00 !rom CUN 0007· Cootigency to C:..N COOB. As a result at this rea~nment. the fltM to Exceed (NTE) alll)Unt CLN 0007- Conlingency shal be $260.740.00. 2. Incorporate CLN OOOS. FCOs 1\hru 6 in the armunt of $339,260.00.

SfE SlJWMI.RV OF Ct-io\NGES

E«<pl u pro•1ded hc""n,allt....., ondcondti!Oitl oflhedoctunmt rr~ed •• ltc-mqA or IOA.os befliiOi>tt(hlllj;cd,mntt~• uo(bln,cd ond 1n it II itn:o amd din.

15A. NAME AND TITLE OF SIGNER(Typeor print I 16A. NAME AND TITLE OF CONTRACTINGOFFICER(Typeor print)

,,(\(\ 'L 1:, E'lo\1(\1 C:fC LAWRENCE YA HS i Branch Chief

"" 703 545.1623 1}\\\rcnce.>atesrtl \\h5.mil

ISH. CONa~FEJ«JR 15C. DATE SIGNED lt>B. ~EDSTATESOF AMERICA it6C DATE Slli'NED

~ ---- ~4/13 7 (Signature of person 3Uihorized 10 sign)

EXCEPTION TO SF 30 APPROVED BY OIRM 11·8-4

BY • "'('Signal ure of Coltf.ictrn{.Rfffic~r 1

30-105-04

Ism d.d!j . -;fA\DARDFORM3r:.;:tev !·---~31

P rc~nt:..d by CSA FAR(48 CFR) 53.243

Page 13: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT I'· coN·n~A~T JD COD F. I P ~GE ~r PA;Es

2 .. AM"E NUMEN'I'l.MODIHCATION NO . 3. Ef'PECTJVE.DA"m 4 .. REQUISJ"I10Nil'lJRCH ASE REQ. NO. I 5.1'ROJECT NO./ifUpJ)Iicahlc)

01 31-Jan-2013 SEE SCHEDULE

G. ISSUED BY CODE H00034 7. ADMINISTERED BY tlfotherthan it~m6J CODE I WHS ·.ACQUISITION DIRECTORATE

See. Item 6 2521 SOUTH CLARK ST SUITE3000 ARLINGTON VA22202

8 .. NAME AND ADDRESS OF CONTRAC.'TOR (No .. ~' rect. County, State and Zip Code) 9A.. M vfENDMENT OF SOLICIT A TTON NO. IRONBRIDGE CONSTRUCTION. INC SHAWN KOOYMAN

98. DATED (SEE ITEM Ill 13203 N ENON CHURCH R D B WING STE 102 CHESTER VA 2383&3122

X I OA. MOD. OF CONTRACT /ORDER NO. HKJ0034·08·D·0003·0019

lOB. DATED (SEE!TEM 13}

CODE 4CZC8 IPArTr .lT V rom: X 27-Sep-2012

I I. T HIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICIT A TlONS

O ·n1e al>ove. nunt.ered.solititahon is a.rende<.l as set rorth in Item 14 . 11w hour and date specified IOrrecespt of Oiler D is c~tended. 0 is JlOl extended.

Oli!r.JlJJsl.~cknowlcdgc receipt of this. amendment pl1or to the b.our and datespecitied intb.e solicitation or as amencled by one oft be .fiJIIowing n-et hods: ta) By conl)leting Item; 8 and I 5.nnd returning ___ copies oft he aorendllleni: tb) By acknowled~ing re~eoptofthi s aorendsrenton each copy oft he ofrr submined: or.(c) l:ly ~<'paratt l~tter.or.lt.lcg.rarnwhi~h inch:u.lts arolhtnct to thc.solicitation.>illd arrt:ndmtnt nun:ners. FAILURE OF YOURACK~OWLtUGMENT'IO BE. RECEIVED AT TilE PLACE DESIGN A TED FOR THE RECEIPT OF OFFERS PRIOR 10 TilE HOUR AND DATE SPECIFIED. MAY RESULT IN REJBC110N OF YOUR OFFER. Hby vi nue of this an'llndn-cnt you desire to change an olfcralre.ady submitted. su,oh chauge lllil)' be n1:1dc by telegram or le11cr. pro vided e~ch telegram or letter nnkes re~rcncc to the su,icltati on and thi s an-endnl!nt . :md ls recei\·ed prior to the op.:.·.ning hour and date ~pe,·i lied.

12 .. ACCOUNTING AND APPROPRIATION OAT A (If required)

See Schedule

13. THIS fTEM APPL!ESONL YTO MODiflCATIONS Of CONTRACfYORDERS. IT MODIFIES THE. CONTRACt !ORDER NO AS DESCRIBED. IN ITEM. 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. l N ITEM .1 OA.

B. THE ABOVE. NU1vfBERED. CONTRACf /ORDER IS MODlFIED. TO REFLECf THE ADI\'IlN!SfRATIVE CHANGES (such as. changes. in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR43.1 03(B}.

X C. THIS SUPPLEI\IENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: FAR 52.243·4 Changes

D. OTHER (Specify type of modificat ion and authority)

E. IMPORTANT: Contractor D is not. 0 is required to sign this document and retW"n 1 copies to the, issuing office. ---

14. DESCRIPTION OF AMENDMENT /M ODIFI CAT I ON (Organized by UC'F sect ion headings . .includin g solicit<ll ionlront ract subject matter where feasible.) Modification Control. Numher: gpinckn1344

The purpose of. this rrodification is to: 1. Admnistratively realign funding in the. arrount of $339,260.00 from CLIN 0007· Contigency to CLIN 0008. As a result of this realignment, the Not to Exceed (NTE) armunt CLIN 0007· Contingency shall be $260.740.00.

2. Incorporate CLIN 0008· PCOs 11hru. 6 in the amount of $339,260.00.

SEE SUM\1ARY OF CHAt-K3ES

Except as- prcwitled herc.in. all tenm a nd condili o ns oflh~. docurrt:.nt rethe.nced in lte m9A <Jr LOA. as: hcrcto lhre changed. remains unc hanged a nd in full t(Hce and ctli:.ct.

I SA. NAME AND. TITLE. OF SIGNER (Type or print J 16A. NAME AND T ITLE OFCONT RACfiNGOFFICER (Type or print)

158. CONTRACTOR/OFFEROR

(Signature of person authorized to sigJl l - - ) " EXCEl TION TO SF 30 A.PP.ROVED BY OI.RM 11-84

LAWRENCE YATES./ BRANCH CHIEF TEL; 703·545·160!3

15C. DATE SIGNED 168. UNITED STATES OF AMERICA

BY r_~§l. (Signature of Contracting Officer)

30-105-04

EMAIL: [email protected]

16C. DATE SIGNED

~ 05·Feb·2013

- -~~ ANDARD.FORM -~0 {Rev. IO-IB) Prescribed by GSA FAR (48 CFR) 53.243

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SECTION SF 30 BLOCK l4 CONTINU ATION PAGE

SUMMARY OF CHANGES

SECTION B- SUPPLIES OR SERVlCES AND PRICES

. CLIN 0008 is added as follows:

ITEM NO SUPPLIES/SERVICES 0008

PCOs I thru 6 FFP

QUANTITY I

UNIT Lot

UNIT PRICE l(b)(4) I

PCO ! -Bulkhead;. PCO 2-Ceiling to. 2x2; PCO 3-Lighting Design; PCO 4-2x2 Lights : PCO 5-L Shape Area; PCO 6-.ACM Abatement Services. the contractor shall perform all services as specified by the SOW in Section C. PURCHASE REQUEST NUMBER: GP0131 20131425

NET AMT

ACRN AA

SECTION C- DESCRIPTIONS AND SPECIFlCA TIONS

The following have been added by full text: SOW- PCOS 1-6

HQ0034-08-D-0003 00:190 I

Page 2 of7

AMOUNT l(b)(4) I

l(b )(4 )

l(b)(4 )

"This modification reconciles all costs and time for PCO's I -5 and work associated with said PCO's through l/11/20 13. No claims are outstanding as of design,. or. work in place as of l/11/20 13. In addition, PCO 6 is. reconciled for Subcontractor and IBC. management. costs only . . Critical path extensions. for ACM work is to be discussed and negotiated via a separate modification in the future."

SECTION E- INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CUN 0008:

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INSPECT AT Destination

INSPECT BY ACCEPT AT Government Destimltion

HQ0034-08-D-OOOJ 001901

Page 3 of7

ACCEPT BY Government

SECTION F -DELIVERIES OR PERFORMANCE

The following Delivery Schedule item for CUN OOOLhas been changed from:

DELIVERY DATE QUANTITY

03-MAR-2013

To:

DELIVERY DATE QUANTITY

03-MAR-2013

SHTP TO ADDRESS UTC

DFDIETSD HQ0197 (b)(6)

FOB: Destinati on

SHIP TO ADDRESS UIC

WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

FOB: Destination

The following Delivery Schedule item for CLIN 0002 has been changed from:

DELIVERY DATE QUANTITY

03-MAR-2013

To:

DELIVERY DATE QUANTITY

03-MAR-2013

SHIP TO ADDRESS UIC

QED/ETSQ HQ0197

FOB: Destination

SHIP TO ADDRESS UlC

WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

FOB: Destination

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The following Delivery Schedule item for CUN 0003 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS

03-MAR-2013 DFD/ETSD rb)(6)

FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS

HQ0034-08-D-0003 001901.

Page 4 of7

UlC

HQ0197

UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION rb)(6)

FOB: Destmat10n

The following Delivery Schedule item for CLIN 0004 has been changed from:

DELIVERY DATE QUANTITY SHlP TO ADDRESS UIC

03-MAR-20 13 DFD/ETSD rb)(6)

HQ0197

FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

rb)(6)

FOB: Destination

Tbe following Delivery Schedule item for CLIN 0005 bas been changed from:

DELIVERY DATE QUANTITY SH.lP TO f\DDRESS UTC

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03-MAR-2013

To:

DELIVERY DATE QUANTITY

03-MAR-2013

DFD/ETSD

FOB: Destination

SHIP TO ADDRESS

HQ0034-08-D-0003 00:190 I

Page 5 of7

HQOI97

UIC

WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DNISION

FOB: Destination

The following Delivery Schedule item for CLIN 0006 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 DFD!ETSD HQOI97 l(b)(6)

FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION l(b)(6)

FOB: Destination

The following Delivery Schedule item for CLIN 0007 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

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03-MAR-2013

To:

DELIVERY DATE QUANTITY

03-MAR -2013

DFD/ETSD

FOB: Destination

SHTP TO ADDRESS

HQ0034-08-D-0003 001901.

Page 6 of7

HQOI97

UTC

WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

FOB: Destination

The following Delivery Schedule item has been added to CLIN 0008:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

FOB: Destination

SECTION G - CONTRACT ADMINISTRATION DATA

Accounting and Appropriation

Summary tor the Payment Office

CLIN 0007:

AA: 97X4950.2020 PX 151 7730 3208 S49447 RFAC20 160 (CIN HQO 197221400010000007) was decreased b~(b)(4) lfroml(b)(4) lrol(b)(4) I . CLIN 0008: Funding on CLIN 0008 is initiated as follows:

ACRN:AA

CJN: HQQ01972214000l0000008

Acctng Data:L..I(b_)_(4_) ---------------.....1

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.... lncrease: ..... l<b_)_( 4_) __ _,

.... Total :j'-(b_)_(4-) __ _,

(End ot: Summary of Changes) ..

HQ0034-08-D-OUOJ 001901

Page. 7. of 7.

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AML'IOMENT OFSOLIClTATIONIMOOif1CATION OF CO~TRACT I (()~T'IA\.:'T lD CJHE i t;,Q~~!f Pol.<.. loS

J I ' ; ' • : AMmD~TMotl1rltAfto)i XO ] UFECTIVE [l._·\ If 4 REQ{:jSJT!()t;'-Pt'RCHASf RfQ J>;Q :) PI!.01ECT M.!;!f:lpph•>bitJ

' Ot-Apr-W1l SEE SCI<I'ot.U :

f> !SSI:ED IH' (.00£ fQlOJ4 7 ADMINISTEREVBY tlfo<~<t..~..-u6) \:OIIE

JwHS ~i.OU.SlT100.Dif1f.ClOAAT£ See n:em 6 2!121 SOUTH a_.o.pjf S'f

S\JTe lllO(I AIIUI<GT<lll 'llo :n:ol

i!.Mf>IEAND ADDII.f.SSOf CONTRACTOI!. !l':o, Strrn,l'<mrrty, 'i10u: .mil hp Cede\ !,A A. "~·'" ~8RII;lo:;!S: (l.liCITJ<U(;t<CI<, !Me SW\~1(00)\j,>li

>12<»1ilfl'100011.itCHICl e ~ IHE •Ill I m OA 'TED !SIX flTM I 11

Cl-ll<STtf'W'-HC:IC"'U

lx: ~ere'""" NO ,. ll'S OAJ t1l !SIX ITrM ll)

WilE AOU'l"Y CU0£ X U"S!?f/'2012 II 11-IISfTfMONL\' AWIJES fOAMfNDMf.N'fSQfSOUCITA TIONS

Ur~-..~~wlo:!lc-il'l~n,.,(mtl>"'"-14 '~"'-'""-•"-~•p..,Jiaf"'"""'~''t>IOIT¢r Q>~-<.>1~ O»ll<lft-""""""" otJ<.o ...... '""""'"'big:..,.., oftk~ "'*''*'k'm:.... >llddol••v-i""'"''""'"'""""'""'"" ... ~"' _.,,,~oc lilb'llf-t.:..h ·~~ ~ry «"'''P!l!("''llifoom>i.,.q rs, •••-•-~doflh<'~. (to-) By..._~_.,., <rf•~>~< ~ ... Midl<ni'J' *'•bl'ml"or"'llnuu..t. "' (~) lly 1'1'..-.t ld.1tt"" I~ ~>"lid ~.uri- !i:l !ilf, •)OI:ih!bOO oed.........,.,.. ~ f Ali,.UU: Of '1'00! _J,(K 'il)llt'lf:.Oii!,l E!'li iU II~ ll.f.CflVED Ai Ttl£l'L\CF DFSl&lAl£0fQR T!iU£CElrT Of OFfO.StAAJR TO Ttll1 ;JO!Jil ,\NO OATESI'OClf'lliO MA Yli£SI.ILT L'l

"

CO~CTORDER.NO. lN IT1i:M lOA.

_..,,., The~ atue ~ 41o mn ttl!t delbW'f muw 30~ 2011. nwt~ mw~ M K'IMIIll"Y ~ cm:u as a !eS\Jit ut ll'h ~!tlJIMII!trwi ~

SEF. 5I.JMidARY Of 0\ANGES

''""' fO.I!.i4i!CfR!5UO

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AMENDMENT OF SOLICITATION/MODIHCA 110N O.F CONTRACT ILCONTRt~CTlDCOI>E I p,~G fiiF. 1',\;ES

2. AM ENDM ENTIMODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. ,5. PROJECT NO.(If applil-ahle)

02 01-Apr-2013 SEE SCHEDUlE

6 .. 1SSUED BY CODE H00034 7. AUMfN1STERED BY.. O.Cot ner.lnan. it em 6) CODE I WHS · ACOUISITION DIRECTORATE See Item 6 2521 SOUTH. CLARK ST SUITE 3000 ARLINGTON VA 22202

S .. NAME AND. ADDRESS OF. CONTRACfOR.(No.,.Street. Couoty. State. and. Zip Code) 9A. AMENDMENT OF SOLICITATION NO. IRONBRIOGE CONSTRUCTION. INC SHAWN KOOYMAN 9B. DATED (SEEITEM 11) 13203 N ENON CHURCH ROB WING STE 102 CHESTER VA 23836-3122

X IOA .. MOD .. OF.COr.TRACT/ORDER NO. H00034-08·D-0003-00 19

lOB. DA TFD.. (SFE ITEM I 3)

CODE 4CZC8 !FACILITY CODE X 27-Sep-2012

I I. THIS. ITEM. ONLYAPPUI'S TO AMENDMENTS. OF SOI.ICITA TIONS

Or be. above. numbered solicitation. os. amended ;t9. set fort It in ilcm 14 •. The. hoUJ: an<l dille. specified. fo r. ' "ccir t of Offer .. D is.ctt.cnoJcd. D is. oool. extended.

Offer. must acknowlcd~. receipt o( 1 his. amcodorr<1\l. priot.t 0. 1 he. hour. aod date. spccifiod iu lbo:c 'olicit <~I iort or. as. arocodoo.t by. on<: of \Jtc. foiJowing onct hod$~ (a). By. complcti.og Items 8. aild. 15. aod. rctumiog __ Ol.)p i~s o(tbc am~ndrncl\r; Cb).Hy.ack.nowkdgiogrttcipt.o( tbis ;uorcndoncnt. on caclt copy. of tho:. offer. subllliucd; (>r. (C) By. so:p:n-m:.l~ttcr. or.tclcgt:Wl whjch. include-\ a rcfcrc:.nw.tu tloc. solidtatio•t ancl am~odru<1l.t . numbo:rs •. F.A..l.LURE OF. YOUR ACKNOWLEDGMENT. TO BE RECEIVED AT. TI·IE PLACE DESIGNATED. FOR THE RECEIPT OF OFFERS PRIOR TO. THE HOUR. AND DATE SPECIFIED MAY. RESULT IN. REJECTION. OF. YOUR 01-'FER .. Uby vi11ue of this amendment ymt desire to. change. an offer. already. submitted .. such ,·hange may. be made by. tclegpom or.letlcr. provided each telegmm or leiter. makes. reference w the solicit at ion. anoJ.Ihis. amendment. ami is. J"C('eived prior. w thc. opening hour. and. oJ:ue sp ecifietl.

12 .. ACCOUNTING AND. APPROPRIATION DATA (If required)

IJ. THIS. ITE.M:. APPLIE.'I. ONLY TO MODIFICATIONS. OF CONTRACTS/ORDERS. IT. MODIFIES THE CONTRACT/ORDER NO. AS. DE.SCRIBFD. IN ITF.I\,1 14.

A .. THIS. CHA NC.oF. ORDER IS. ISSIJFD PURSUANT TO:. (Specify autnorit y). THF. CHANGE.'i. SET FORTH IN ITEM. 14. ARE MADE IN THE . CONTR,~CT. ORDER NO. IN ITEM. lOA.

B. THE ABOVE NUMBERED CONTRACT /ORDER IS. MODIFIED TO REFLECT. THE i\ DM INISTRA TIVE C.HA NGES. (s uclt as. changes. in. pay in g. ollie c. appropriation. date_ etc.). SI::.T FORTH IN. ITEM. 14. PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

X C.THL'i SUPPLE.II.1E.NTALAGRf.Bo.-1ENT IS. ENTERED fNTO PURSUANT TO AUTHORITY OF: FAR 52.243-4. Changes

D, OTHER,(Specify ty pe o( n¥Jdilication.and authnrity)

E.. IMPORT ANT: . Contractor D is nol •.. 0 Krequired to. sign. this document. and r~lum 1 copics.lo.lhe i~suin!f. offic~. ---

14 .. DE.<;CRIPTION. OF AMF.NDMENT/MODIFICA TION.. (Organit.ed. by. UCF section. headings .. including so licitalion/contract.suhject mall~r where. feasible.)

. Modification. Control Number: gpinckn1352

The purpose of this. modification is. ta extend the. delivery date. to. 30. April. 2013 .. The. Government. shan not incur. any additional costs. as a result of . this. administrative. time. extension.

SEE SUMMARY OF CHANGES

Except as provided her~in. all terms <Uld conditions of the document referenced inllem 9A or lOA, as heretolorechanged. remains unchanged ;md in full force and effect.

!SA .. NAMEANDTITLEOFSIGNER(Type.o.-.print)

1513. CONTRA t1"0R/OFFEROR

(Signature o( pers ort muhori7.ed.Lo, sign) EXCEPTION fO SF 30 APPROVFD BYOIRM.Il-84

lSC .. DATE SIGNED

16A.NAMEANDT!TlEOFCONTRACTINGOFFICER(Type.or.pt·illl) LAWRENCE YATES I BRANCH CHIEF

TEl: 703·545·1623

l6ll. UNITED STATES. OF AMERICA

BY <-~-;:?. (Signmure. of. Co ntmcting. Oflicer)

30-105-04

EMAIL: l [email protected]

16C. DATE SIGNED

~ 02·Apr·2013

STANDARD. FORM. 30. (Rev. I 0-83) Prescribed hy GSA FAR (48 CFR) 53.243

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SECTJON SF 30 BLOCK l4 CONTINU ATION PAGE

SUMMARY OF CHANGES

SECTION F - DELlVERTES OR PERFORMANCE

HQ0034-08-D-0003 001902

Page 2 of6

The following Delivery Schedule item for CLIN 000 I has been changed from:

DELIVERY DATE QUANTITY SHlP TO ADDRESS UTC

03-MAR-2013 WHS/PSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·x•l FOB:. Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS . UIC

30-APR-20 13 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·~~· ~ FOB: Destination

The following Delivery Schedule item for CLIN 0002 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·~~·~ FOB:. Destmatwn

To:.

DELIVERY DATE QUANTITY SHIP TO ADDRESS . UIC

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30-APR-2013

HQ0034-08-D-0003 001902

Page 3 of6

WHS!PSD/ECM/CONSTRUCTION MGMT HQ0050 DTVISION

l(b)(G)

FOB: Destination

The following Delivery Schedule item for CLIN 0003 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/PSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·~~· ~ FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

30-APR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·)(·)

FOB: Destination

The following Delivery Sche·dule item for CLIN 0004 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTlON MGMT HQ0050 QI::Z::ISIQt::!

r·)(·)

FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UlC

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30-APR-20 13

HQ0034-08-D-0003 001902

Page 4 of6

WHS/PSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

FOB: Destination

The following Delivery Schedule item for CUN 0005 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/PSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·~~· ~ FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

30-APR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·~~·~ FOB: Destination

The following Delivery Schedule item for CLIN 0006 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·)(G)

FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

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30-APR-2013

HQ0034-08-D-0003 001902

Page 5 of6

WHS/PSD/ECM/CONSTRUCTlON MGMT HQ0050 DIVISION

FOB: Destination

The following Delivery Schedule item for CLIN 0007 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/PSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION r·)(G)

FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

30-APR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·)(G)

FOB: Destination

The following Delivery Schedule item for CLIN 0008 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

03-MAR-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

r·x•> FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

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30-APR-20 13

(End of Summary of Changes)

HQ0034-08-D-0003 00:1902

Page 6 of6

WHS/FSD/ECM/CONSTRUCTION MGMT HQOOSO DIY1S10N

FOB: Destination

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See Item&

------------~~~--~--~------~~~---------------.. NAMI-.AHDA~Qo OONI RACfOil CNo .• SeMel. C'olllll). s..&c .-d ~Cock I ..,_CG£ CDCTIIUCI"OI IIC sw.•ICDOVIIAN IU03 N ENON OIJIICH AD I WIG &TE ICIZ OESTER VA23 .. 3122 r-- - -- ·--- ··-- -- --- • ·-- - -- - -

X * MOD OF OONTRACI OIIDBl NO ~~~

I-~IOB=-~llo\~TB>=....,(-==se:~n~EN~Il'"') ____ - -- -

CODE 4CD_ IFAm·~· ............ X 27..sep.3)12 II.THISrn:M<»>.YAPI'UBTOAMENDMEHI'SOFSOUCfAnoNs~----·-------------

rJ;....._........_..._ .. ianil;_waldA.thilll-1•. ,. ............... u ......... roncr cr;;;~- --o ... .:;;..w·---· on.- .uow ........ oflllill--- priarlolk ................... ~w .............. ., ___ lfillaw ___ ...

(aJB,--.IIliltlla.I-'U, olllll~e~ .... _...,.,..,.,.___._._C'f)llf.-..wl 'e ,...,,.,. ... _._. .. _.CIIII'Yotlill!el'farllllllllilte( arlc)llf*"'_ .... .,.,..,._.._......,. • ..._,Ol _ _.. __ _.... ...... f AIWREOF'VO\nACKHOWLEDOWI:HT10Bl Ra"EJVED AT THE PlAC'I! DESIONA TED FOR ntE RECEIPT OF OFYEU PIUOI fO nn: HOt It ,t.ND DATE sra:JftED WAY RESJLT IN I.PJa:TIONOFYOUROPI'Bt. Jr~..wt~~eorllil_._.y•olaft"' ..... •oll!r...-.ty•Wtad._. ... _,.__.~, .... arllller. ,_.._.,..,_ ..... , .... ...._,.,. ........ _., ... _...... _.._, .. ,,..,.,_.,-...__.._.,, .... w

tf Ac:ixuiriN() A NlAPPIIa'RIA TION DATA (lf~ftd) S..lchedule ------ - ----------=-------~---=---------~---~--------------------------- ----ll. TliS ITEM APfUB (N. YTO MODIF1CA noNS OF OONTRACTSIClltDHtS

IT MODIFIES THEcamtA.CT au:& NO AS I&CRl8ED IN ITEM 14

E. IMParr ANT: CORIIICior 0 il IKII, [!] il~~:quftd 10 • • Ibis doc-m aad II!IUI'II 1 copa &o aile u•1 oll'ce

14 OI!SCXI~OFAMEMlMENI"MOaFICATION ~byUCFsediDIIIallilp. lldiiUI;'*---u.:tscdtpl..ser ---!We.) Modiftcldon Colluul Nlalbtr gplnckn1388

1)'e JUP0M d lhll modlbillon II ta. 1. uapalle a.JN 00011, PCO _, 11n the III'IOIIll af sta,!500.82. -n. dllfMiy dlle ClM 0008 thlll be 31 Oet 2013 2 ~ PCO _,OR-$4,2211.00-.nd PCO to&-114,1'S7.00 mc11r bile CUN 0001 In the 111'101111 af $18,388.00 T1w diNty dillll b-CUI 0001 .... arc:t.rvec1

3. ,.. a MIIAl allhll mucllcltior1, the ldlllntld IRI call ......C b-this ..U OldlrMIInel-.d by S881,886.8211am ST,317,036..81to •278.90183.. 111!1 mcdlc:illlat t1111..,...... u n n. Mltlaftert l:lrll PCOI a allhe dlle a1 ~

SEC SIMMARY OF CKI'NGES

ISA. NAMEANI&IIWI! r1, I~ 16.\ NAMEANDTI11.EOFC<Jon'RAC111«iOFFICEit(l)peorpriat) Frank B. Giliey CEO ~ LAWRENCEYATES/BranchChief .

APPitOYfDBYCJRN 11-14

• ...,. ra 703.545.1623 tawrence.yates({l~wbs.rml

PlaaW by GSA FAA(48Cfll)Sl..l43

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• AMENDMENT OF SOLICITA110NIMODIFICATIOC'i OF CO"''TIIACT II·' PAGEOF PAGES

J 1 7

• ' '"0 li

03 i 14-J: .. m.2013 :s~E SCHSDlliE

' 3¥ CODE ' , AD!vfiNISTEREDBY (lfotherlhtmit¢1116) C'l '"

' '

""' AC0U'S'7!0N OIRECiORA TE See Items 1225 SOVTH Ci..AAK Sr AFILiNGTtiNVA 2~2:CJ:.<'390~

8. NAMEANDADDfLC:SS Ol' a>NTRACl'OR (No., Stre::, C<Jur::y, State-and Zip Code) ' ' .~

IR::i'IBR'DGE C0NSTRC.:CrON, lNG SHAV.NKCOYMAN : 9B. DATED(SEE:a-1 q 132(!3 :>. ENCN CJ-Il'RC" RO 5 'M'>;G STE '02 ChE.STERVA 23!tl6-<!'?1

X : W&U~~ft.~~IORDERNO.

xi ll3)

·~ 1 LJ, *:>~tllm<.llrlu >rtihr!h mi!en 14. Tne!rounmld•u:sp::cifid fum,.:eipt cfO!kf Q il; ~Xedl:d, 0 isn9tl'Jiil~

Offer must aclmtwWg;. <=:ipt of tiD:; ~: prior tll the lwur and dare sptcifial in the wli~ilalioo w a; ~ ~ one of the felbwing!nctrwu,: (s) By ~letinglkms 8 t!l'ld :S,andur:omr:g~~copie> :;fll:e~;(b)By aclmow~~~ Wtlm llffli:Odmer.too 1!&:hv.vy <..>fthJf/.fuWJ\nnit<::lf: ;x (c) By ""Pf'fllle ;-""" td~ ,.l;.i,;h i.m;l!l(le; a mf~ t:! llxm:iliclt&k:n lCd illlll:!ldru:nt n=beT•- F AJJ)_lREOF YOUR ACKN0\\1...EDQM£i'f:' TO ae RECEfVE') AT TIE?LACE::>ESIGNATE:> TOR 7H:Sl<ff:E!Yf OF OfFBS PRIOR TO Tfl3 ;:oo·..:l<. AND DA fE S?:ECL'JE') MA Y!U'iSt:.JLT lN iGKTrON 0"? YOG-:ROFFEt ..

"'" . .. ' '

" "" WA1A•

See Schedule

"· niisi ! 14.

' ISSUED PURSUANf TO: "" ' CONTRACfORDERNO. INr!'EM: lOA.

' ' ' ' in pavfnr; ' ' ' i .. ' ' ..

lx ;AR' I D<

' Gmlnl.ctnr D ""'' ~ IS requl.~ IR sign ihll; ;locl.!T11Wt and re!lll!l 1 copies t(l t.ie issuing oi!'iw".

• 14

.1 wherebsibk.) Modfficmlor. Omt:ol Number. gpinclm1369

1he purpose af this motiffication ls to: 1. bcmporate CllN 0000, PC0-#11 in lhll3fl'IO!..Jt of $943,500.82 11m deliwfy date CUN 0000 shall be 31 Oct 20i:i 2. lncof;lorote PCO #10R-S4,22tWO and PCO ~$14, 137.\10 urder J.m;e CL!N ~001 in the M'!O'..IIl! of$18,366.00. i'he deilt:NV date fur CUN 0001 rwrain.~ U"!Changed.

3. fos a rest.it cftt:is ~odifcatloo, 100 total fLrldcri am OO'St arncuntib~this task vrderwas ir.creMed by $001,&.15-821i'nmii'i7,317,036.81 to $8.278,903.63. This modffieaf.on $hal! represe111 full and iin<~! eet!lement !Pr ~;~I! PCOs as ottt·,e cta<:e m e:o:C¢Jticn.

SEE SUMMARY OF CH/>/'4GES

.. ''"' ••• '

I15AI "'''' "''""!) JMC ' I IIRA-.C!'!C"'I"F

TEt: 7C3MS-•823 '""'c ,, : 153. OJNTRA CTOR/OFFF.ROR jiSC l5B

s_a; I

·-.-:': ~ 17 .. Jur<i!013

••

BY

Oflio<•)

. !o.s3) APPROVED BY OIRM l 1-!!4 Prescribed by GSA

FAI\{4SQ1R)5l241

' '

' ' '

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SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A- SOLICITATION/CONTRACT FORM

The total cost of this contract was increased b~~-(b-)(_4) __ _.~oml(b)(4)

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0001

SUBCLIN 000101 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY 000101

ACRNAB

CLlli" 0009 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY 0009 1

PCO # ll FFP

UNIT

UNIT Lot

UNIT PRICE

NETAMT

UNIT PRICE l<b)(4) I

PCO # 11: The contractor shall perfrom all services in accordance with the SOW specified in the Section C. The delivery date shall be 31 Oct 20 13. PURCHASE REQUEST NUMBER: HQ0050308Q0168000

NETAMT

ACRN AB

HQ0034-08-D-0003 001903

Page 2 of7

AMOUNT $0.00

$0.00

l(b)(4)

AMOUNT l<b)(4) I

l(b)(4)

l(b)(4)

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SECTION C- DESCRIPTIONS AND SPECIFICATIONS

The following have been added by f.tll text: SOW- PC_O tt]J

1. General Requirements

Statement of Work Bnild Out of Former Wedge Ofrtees

Modification March 12, 2013

HQ0034-(}8-D-0003 001903

Page 3 of?

1.1. If the seope of work as stated in this document and its attachments conflict wJth the original contra.;:t (HQ0034-08-D-0003-00 19), the requirements of this SOW fur this modification shail prevail

1.2. The pr<Uect covered under this :nodification consists of the Base CL~ and four options, The Design .Build: (D!B) Contractor in their proposal shan provide a separate price and schedule for these options. Should the Government decide to exercise the option CLlNs, the CO wili notify the Contractor.

1.3. Jhe DIB Contractor shall produce S...)Jarate sets of design submissions for the work covered by this modificatioo. The D/B Contractor shall submit the following design documents in acoorda.;1.ce with the same requirements of the base contract: -

A. 50%CD B. 1 0()l'.4 CD C, IFCCD D. Redlines aDd As--Built Drawings

1A The design requirements in the base contract shall be adhered to for this modlfication. including design review periods; submission quantities, design meetings, Electronic Data Standards (EDS), etc, Thete is a twenty-one calendar day review period fOr all Construction Document Submissions except the rFC package, The IFC package is reviewed by FSD only to ensm-e that 1 00'-l/o CD comn:ents are incorporated. The IFC Package is then submitted to other Government entities for record purposes only.

1.5. Tb.e D/B Contractor shal! adjust their curre:rt safety plan to be site specific addressing any additional conditions fur this phase of work and provide the assoc:ated AHA's as appropriate.

2. Base CLIN Deseriptkm of New Work: 2.1. E!ectricat Service: Tt.e D/B Contractor shall ensure tbat the below requirements meet the proper electrical

requirements for the BOFWO space tbrough a thor01.:.gh design by the DOR. The design shall Include but not be limited to load calc'Jlations.

2.1.1. Tbe D!B Contrnctot shall provide electrical service to the Bor·wo space from eieclrical vault E6B located in room BF663. The Contractor is responsible for providing anew 1600 AF/l200AT, 4801277¥, draw out type Cutler Hanmter DS II ar,d all associated components for existing switchgear in room BF663. The new breaker and associated componeo!s shall match existing 1600Jo\F/AT breakers installed in the BF663 switchgear,

2.1.2. The D/B Contra<:tor shall remove existing conductors feeding panel DP~BG735-0l from the "clear

2.1.3. 2.1.4.

tap" located in the existinP.; ceiling mounted junction box. Jhe D!B Contt:lctor shall test the ne-w· breaker in accordance with NETA ATS requirements. The DtB Conll't\Ctor shall provide electrical short circuit calc~1ations, electrical coorc:tination studies, and arc flash hazard analy~is in acrordance with NETA ATS and th.e Natior.al Electrical Code.

2.1.5. The D/B Contractor is respons:ble for installing 3 parallel sets of 4-A WG#500 KCM t l-f!3/0 Ground conductors in EMT conduits from room BF663 to an existing ce)ling mounted jl.lllCtion near room BG735.

2.1.6. The D!B Contractor will be required to perform a fufl Commissioning effort as. detailed in MACC requirement 39 fur the new electrical equipment. This process shall be coordinated with ;he FSD's Commissioning Specialist (CS} and OGC's wb.ere required, in acoordaru:e with the Project specific Commissioning Plan.

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HQ0034-08-D-0003 001903

Page4 of7

2. 1. 7. The D/B Contractor shall replace all flexible conduit within the existing electric room with rigid conduit.

2.1.8. References to applicable codes shall include but not be limited to the latest versions of the following at the time of work performance: A. NFPA 70, National Electrical Code B. NFPA 70E, Standard for Electrical Safety in the Workplace C. NET A ATS, Acceptance Testing Specifications D. ASHRAE 90.1, Energy Standard for Buildings, Except Low-Rise Residential Buildings

2.2. Basement Slab Voids 2.2.1. Prior to the commencement of work and with CMD present, D/B Contractor shall mark off points

where voids occur underneath the basement slab-on-grade. D/B Contractor to reference investigative report Dated May 18th 2012 for void locations throughout the basement slab. See the base contract SOW Attachment A, Item B.

2.2.2. D/B Contractor shall ensure that proper execution of filling voids by pressure grout fill shall be performed to industry standards to prevent any future issues with settlement of concrete and any supported load capacity.

2.2.3. D/B Contractor shall ensure that any and all excavation of existing soil and or voids beneath the slab shall be done in a manner as to not affect the integrity of existing basement slab steel reinforcement.

2.2.4. D/B Contractor shall repair all existing coring holes and any core holes created as result of slab testing so as to maintain structural integrity & existing finish quality.

l.l.S. D/B Contractor shall ensure the repair to the basement slab voids is in compliance with applicable building codes and standards.

2.3. Isolate New/Existing Storm Water Line 2.3.1. The D/B Contractor shall remove all non-code compliant lines currently feeding

into the storm drain between column grids LL & MM and column grids 10 & 29 on the Basement Level in to BOFWO area of work and relocate these lines, in the most efficient manner, into the existing gravity sanitary sewer line currently serving the BOFWO space and shall ensure all applicable codes are met.

2.3.2. The D/B Contractor shall conduct a pre-bid survey of all existing conditions to verify the extent of work required to correct non-code compliance.

2.3.3. As part of the design effort, the D/B Contractor shall verify the capacity, location, and connections of all existing utilities; and that all mechanical and plumbing systems affected by the relocation of the identified lines are in working order and meet all code requirements of the relocated work. The provision of a new pump is not desired; therefore, the D/B Contractor shall consider the viability and efficiency of the existing pumps located in mechanical room BG769A and adjoining space. The D/B Contractor shall perform any tests necessary to confirm functionality of existing pumps including manufacturer's recommended tests and validation of product requirements for installation. If a new pump or other new systems are required, the D/B Contractor will perform a full Commissioning effort as detailed in MACC Section 39.

2.4. Removal of Work Under Current Contract: F-Ring Corridor 2.4.1. All existing work associated with the F-Ring corridor, per section 3.2 of the Base

Contract Scope of Work, that has not been completed at the time of the Stop­Work Order shall be completed after Items 2.5, and if executed, Option CLIN 1, and Option CLIN 2. The intent is that F Ring will have seamless finishes that are installed in a logical manner.

2.5. Remove Masonry Wall 2.5.1. The D/B Contractor shall remove the mezzanine level masonry wall, which is

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HQ0034 -08-D-0003 001903

Page 5 of7

currently supported by beam and channel at column line 5 from CC to DD. 2.5.2. Repair/replace the separation wall as required at the location of work. 2.5.3. D/B Contractor to assure integrity in maintaining existing frre rating for all walls and penetrations

per NFPA building standards 2.5.4. All work in this area shall be done during off-hours.

2.6. Disposal of Lead Contaminated Pipe 2.6.1. The D/B Contractor shall dispose of the existing lead contaminated pipe/material

which is being removed under the Base Contract. This work includes but is not limited to containment of pipe for removal, any associated testing, and disposal.

2.7. Stair 75 2.7.1. The D/B Contractor shall ensure that Stair 75 complies with all applicable codes

and Pentagon standards. This work includes but is not limited to providing a finished floor, treads, paint, and fire phones.

3. Option CLIN 1: Structural Beam and Column Removal 3.1. The DIB Contractor shall remove the column and beam located at column line 5 between CC toDD on the

basement level of the F-Ring corridor. 3.2. The D/B Contractor shall ensure all work performed at this location be coordinated with the 0/B

Contractor's structural engineer, and any engineering work completed prior to any removal of materials, columns and beams.

4. Option CLIN 2: Rerouting Piping in F-Ring Corridor 4.1. The D/B Contractor shall reroute existing service pipes to include but is not limited to chilled water and

sprinkler lines in the F-ring corridor and assure they are fully operational and will accommodate new architectural design and building standards with ceiling heights that meet code and a corridor width that is consistent with adjacent area.

4.2. The existing construction partition shall be removed. 5. Option CLIN 3: F·Ring Corridor Upgrade Sequencing Cbange

5.1. The D/B Contractor's scope and design intent does not change from the base SOW. Items outlined below are further clarification of the design that was included in the base bid. The DIB Contractor shall renovate the portion of the F-Ring Corridor outlined in Attachment B. All renovations shall comply with applicable codes. This renovation shall include upgrading all life safety requirements in the area and restoring finishes, including the installation of a vapor barrier, and the installation of new terrazzo flooring.

5.2. Ceiling and Lighting 5.2.1. Maximize the ceiling height to the greatest extent possible per applicable codes. 5.2.2. Install a new standard 2'x2' ceiling and grid with new lighting to match existing

building standard corridor configuration. 5.2.3. Install new emergency lighting per Building standards. 5.2.4. Relocate/raise existing sprinkler pipes and heads, electrical conduits, and any

other components for the installation of the new ceiling.

5.3. Sprinkler System 5.3.1. The exposed sprinkler line should be concealed and designed in accordance with

NFPA. 5.3.2. Retrofit fire alarm and sprinkler coverage to match Building standard corridor

requirements. 5.3.3. Make corrections to existing Fire Alarm/Sprinkler Guard including but not limited

to missing sprinkler guards, escutcheon rings, etc. 5.4. Architectural

5.4.1. D/B Contractor shall ensure all masonry walls and columns are covered in drywall and finished to match Building standard corridor finishes. This includes relocation of existing utilities, fire alarm systems, security systems, and any

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HQ{l034-08-D-0003 001903

Page 6 of7

devices currently located on the masonry walls to the face of the new drywall. Design documentation shall detail the method of drywall termination at all existing door frames. All fire ratings are to be maintained per code. Coordinate all actions in F Ring with PFP A for assistance with removing security hardware which includes but is not limited to cardswipes, cameras, sensors, etc, and reinstalling inion the new drywall faced wall.

5.4.2. Provide photoluminescent signage along the corridor walls to match the current Building standard.

5.4.3. Repair holes in walls including double-thick sheetrock and block construction located at secured door area BF714.

5.4.4. Exit/electrical signs must be ilhuninated at BF710A, BF683, BF677, BF667, BF656, and BF648.

5.4.5. Prepare existing concrete floor to install new terrazzo flooring. 5.5. Fire Rating

5.5.1. Bring existing metal deck ceiling and steel joists to fire code by achieving a 2 hour UL assembly.

5.5.2. The D/B Contractor shall design and install new terrazzo flooring and terrazzo base throughout the public corridors. Terrazzo finishes shall match adjoining corridors. The basement ltwel has differing terrazzo inset details of a contrasting color. The D/B Contractor shall submit samples to the COR for review and acceptance prior to installation.

6. Option CLIN 4: B-Zone Column Box Door Installation 6.1.1. The D/B Contractor shall installlOl Government furnished B-Zone column box

doors. 7. Attachments

A. B.

Existing Drawings F-Ring Corridor Boundary Plan

SECTION E- INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for SUBCLIN 000 10 1: J::ll.l'SPECT AT INSPECT BY ACCEPT AT . NIA NIA NIA

The following Acceptance/Inspection Schedule was added for CLIN 0009: INSPECT AT INSPECT BY ACCEPT AT Destination · Goverrunent

The following Technical Office was ad.ded for CLIN 0009: WHS/FSD/ECM/CONSTRUCTION MGMT DIVISION

(b)(6)

SECTION F -DELIVERIES OR PERFORMANCE

Destination

ACCEPT BY Government

ACCEPT BY Goverrunent

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HQ0034-08-D-0003 001903

Page7 of7

The following Delivery Schedule item has been added to CLIN 0009:

DELIVER. Y DATE QUANTITY

31-0CT-2013

SHIP TO ADDRESS UIC

WHS/FSD/ECM/CONSTRUCTION MGMT HQ0050 DIVISION

FOB: Destination

SECTION G- CONTRACT ADM1NISTR.ATION DATA

Accounting and Appropriation

Swrunary for the Payment Office

As a resu}t q fth is modjficar·on, the total funded amount for this document was increased byl(b)(4) ~om j(b)(4) !tol .... _<b_><_4> __ ..... _

SUBCLIN 000 10 1: Funding on SUBCLIN 0001 01 is initiated as fQllows:

ACRN:AB

ClN: HQ005030800168000000101

Acctng Data:l(b)(4)

Increa.se:l(b)(4)

Total: ._l<b_)(4_) _ _,

CLIN0009: Funding on CLIN 0009 is initiated as follows:

ACRN:AB

CIN: HQ005030800 1680000009

Acctng Data: l(b )( 4)

Increase:~.:.l<b..:.)(:...4 >;,.___....~

Total: ._l(b_)(_4 > __ _.

(End of Summary of Changes)

Page 35: §'m · 2017-05-15 · Section B • Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANfiTY UNIT UNlTPRlCE 0001 Lot l(b)(4) Build Out Fonner Wedge Offices-BOFWO FFP Build

AMENDMENT OF SOLICIT A nONIMODiftCAnON OF CONTRAcr r CON r~CT ID CODE l PAOEOF PAOJ:S

1 l 4

2 AMENDM~~FICATION NO ), EffECTIVE DA 1£ 4. 1U!QUI5nt0N.t'\IRCHAS£ IIJ'Q NO I' PkOJetT NO (lf~pp ..... ) 1~13 IEISCHI!lliU

6.1!.WEDIY CODE H00034 :1 ADMINISTI:kmBY (lhtlllrtllail•61 C'OOI I IMtS ·ACOIAIITIDNllllla!C1'0MTE Blebmt 1221 804If14 aAitlt IT -..cnONIM .122112.-e

l NAME AND ADI:lltBS Of <Dn'AACTOR (No. 51-*.0I•IJ, Stale 111d Zip Code) 1M. A Ul' QJC'I A IIUI'I NJ

- CIDieTRUCTIOII, INC ... ..,..ICOO'nWf 98. Do\ TB>(SEE ITEM II) 1:1203 III!JIDj OUIQt liD I WHO 8TE 102 OQTI'IVA~122

X ~w·auat.n

108. OAT&> ISEEI't'&lll)

('(Q! 4C2DI IFAm.rrvrrvv: X 27~2 II THIS ITEM ONl. V APPUES TOAMIMlMENJ'S OF SOLICIT A '1laiiS

10•.._...._...,.. .... _..... ... b1•1111t•l~. ,...,_.. ... ..,r_.a.r....,. oro lib 0• .. ......, 0·-•..W ocr._....,.,..,..,,.,, •• _._.,,.. .. , .. _._.. .. ....,..,.,,.....,,.._..~_.,.,.,.._.,..,.. {.,.,.., .. ~.._ ... ., .... ,.....__CIIf .. •r* ........ <bl8Jatw.!.'e·•-='P•ottlill......._aa_....,ar,..o&r.-..•• w(q., -.-lllllllw ...... .W.IIIc:W.o......,_lolliDIIIII:il•;.•---. ...... FAIWIIEOF 'YOUI ACKNOWUDQNEHT fOIE IUI:E.IVED AT THE PLACE DI!SIONATED FOR THE IIEC'EJPT OF OffE.IIS PRIOil TO THE HOUR AND DATE IP'I!CIFfm NAY RfSILT IN lEII!ICTIOMOI'\'OUROfi'SR lfbyvlllu.otlllil_.._yow..-to .... •olir ........ tlll-0..~-..S.byt ..... cwr. ... ~_.,..,_orr.tw-..""'*-lltfle~lla .,.,._._._ .. b.-,.,.,_,,, • ..,.._.__..._,.,-w.

11ACCOUNTINOANDAPPitCPIUAl10HDATA(Ifn~quftd)

IHScMdule ll. THIS nat Al'fiJS CN. YTOMCIDIFICATtONSOF CONTRACTSIOIIDBI.S.

IT MODiflES ll£CONt'RAcr QlDBt tl) AS DSOUBID IN ITEM lif.

lA· THIS CHANCE ON& IS ISSUED PU'R.SUANT TO (Spoc~ 111\bo!ly) 'llECHANCB SE1' fOR11( IN mM 14 AREMADE IN THE CONTRACt QUa NO IN mM Ia.\.

~ TlEABOYE NUMBBUDCtJNT'MCtiOaDER IS MODIFIB>TO IUf'\.S:flttEADMIHISTAA TIVECHANEi (IUUo u dtoJCI il PIY"I olb.IP9'DpriltiD•dltt.IIC)SiTFamt1NITEM 14.PURSUANTTOTHCAUIHOIUt'YOFTARO.l03(8)

X IC DUS SUPI'I.al&n'AL ACRIBAEHT IS 8m'JUI) 000 PURSUANI'TOAI..1T'IOITY<I' PAR 82.,.,.. OalCIII to. <J11tm (~ &ype orii'OdilbltOD a.ad aulhrtty 1

E IMPORTANT: Olnt11C1or 0 BDDL 00 8 Nlfuln:d 10 •• ~~~ 4klc1lll1llll and nlllllll 1 co,... to dtc illllill o,._ -14. DBCilmON <I' AMIHJMIM' Ma>IFICA 't'IOfll (Oipniaed br UO: S«tiDa tladin;a,lnchldill sollctatio!l co.n.tl 111bjlclllllltcr ........... ,

Mofilclllolt Contllll Nludllr. llllrdln13&l 'PII ~ d lhll RICllllc:allcln II ta:. 1. ~ ,..... bldng ~ 111.._. r11111. 121.00 1'1111 eut 0001- O:Hiuaq 111 eut 11010. ,. a~..ut d 1t111 ,..,.,. ... ., r. Hoi ID &c.d DIIU'dllr CUt t. ..... dllc-.1 ID IZ4,81liiQ. :t ~ a.ltllll10 llr PCOa 12111d 13 ~ ~~~---- ofS!i&.121.00 •ICif!Ciad !¥11'1180W CICI'IIIniJ ~ &l::llan c. 811 SlMMR't OF CIMMJES

_.., • .........,..._ • .__.COIIdblolllar• .. .__ ...... h•9AwlOA.•fllnlalbN..._,..........,11141allaiiAnl-'.rJic1. ISA.NAMEA - ·- ·~·

Frank B. Gilley. CEO on, Inc.

~~ ISC. Do\ TESl(Jolfl)

bJn Aba .. :Jt!UY ~we orpe~Mn 8lllllcni8ld to•ip) I'.M.U'I~IUIII"JO ,

1611. 'a~TT11.£0FCOftl1'1V.crtNOOFFK.m{Typ1 orprllll) CE YATES I Branch Chiet

TtL. 703.545.1623

168. UNJrB) STA Tm <I' AMERJCA

BY~~

lawrence. i. vates.ci'[email protected] I6C Dl\ TESICND

~) ~c,C,.. ~~} \ STAND410 FaiM 30 ~. 10-13) Plaatlld .., Q!IA FAR~ eft) !1.'.M3

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AMENDMENT OF SOLICIT A TION/MODIFlCA TION OF CON1RACT ,I . CONTRACT JDCODE l PAOEOF PAGJ:.S

I J 1 1 4 2. AMENDMENr/MODIFICATION NO.

04

3. EFFECTIVE DATE

19-Aug-2013

4. REQUISlTIONIPURCHASF.REQ. NO.

SEE SCHEDULE

I S. PROJECT NO.( If applicable)

6. ISSUED BY CODE HQ0034 '----------1

7. ADMfNlSTERED BY (If other than item6} CODE IL-------------~

w-IS • ACQI)ISITION DIRECTORATE 12~5 SOUTH ClARK ST ARLINGTON VA 22202~909

8. NAME A NO ADDRESS OF OON'ffiA CTOR (No., Stn:et, County, State and Zip Code) IRQNBRIDGE CONSTRUCTION, INC SHAw.! KOOYMAN 13203 N ENOH CHUR~ RD B WNG STE 102 CHESTER VA 23836..3122

See Item&

9A. AMENDMINT OF SOUCIT A TION NO.

98 DATED(SEEITEM II)

X lOA. MOD. OF OO!'TfRACf/ORDER NO. HQ0034-Q8..0..()()(3-0019

CODE 4CZC8 I FACTI..ITY CODE

lOB. DATED (SEE ITEM !3)

X 27-Sep-2012

11. THlS rn:M ONLY APPLIES TO AMENDMENTS OF SOU CIT A TlONS

! Or be above numbered solicit II. ion is amended as set fonh In Item !4. The hour and dale specified for rea:ipt of Offer 0 is cxlcndcd, 0 i5 not Cldcndecl.

Offer mil$! ~~~:knowledge r=ipt of this amendment prior to the hour .utd dale specified in the solicitBlion or as amended by one of the foUowing me~ hods: (a) By completing Items 8nl IS, 111d returning copies oft he lll!le!ldmo:nt; (b) By adolowfed!Png receipt of this amendmctt on oach copy of the offer sub mined; or (c) By scpan~e le:!tcr or td~ whicl! inclu~~ to the soficitaJion and ammdment numbers. FAILURE OF YOUR ACKNOWUDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEJ!'T OF OFFERS PRJOR TO THE HOUR AND DATE SPECIFIED MAY RESUI.. T fN

REJECTION OF YOUR OFFER. If by virtue of this t1mendment you desire to chan~ an offer aftm:ly submitted, such Chan!J= lllllY be made by tdqJ11111 01' fdtc:r, provided each telcgnm or fetter makes rcfcra~ce to the soiicitBiion and this amendment, and is received prior to the opening hour and dale specified.

12. A CCOU1'111NG AND APPROPRIATION DATA (If requ~d)

See Scl'ledule

13. THIS ITEM A PPUES ONLY TO MODIFICATIONS OF OON'ffiACfSIORDERS. IT MODIFIES THEOONTRACT/ORDER NO. AS DESCRIBED IN lTFM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (SpecifY authority) TilE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE C'OmltACf ORDER NO. IN lTFM lOA.

B.lliEABOVENUMBERIDCONmACf/ORDERJS MODIFIED TO REFLK'TTHEADMOOSTRAT£VECHANGES(such as changes in paying office, appropriation date, etc.) SET FORni IN rn:M 14, PURSUANT TO THEAliTHORITY OF FAR43. 103{B).

X C. THIS SUPPlEMENTAL A CJUXMENT IS ENTI:'RED INTO PURSUANT TO A tJil-IORITYOF: FAR 52.243-4 Changes

D. O'THER(Specify type ofrmdi.fication and authority)

E.lMPORTANT: Contnlctor 0 is not, 0 is required to sign this docu~nt and return copies to the issuing office.

14. DESCRIPTlON OF AMENDMENT/MODIFICATION (Organiled by UCF section headings, including solicitationlc.ontmct subject 1111t1er

when: reas ible.) Modi.ficatron Control Number: gplnckn1383

The purpose of this modification is to: 1. Administratiwly realign funding in the amount ofS56,121.00 ron CLIN 0007- Contingency to CLIN 0010. As a result ofthis realignment, the Not to Exceed amount forCLIN has been decreased to $204,619.00.

2. Incorporate CUN 0010 for PCOs 12 and 13 in the amount of S56, 121.00 as speclfed by the SOW contained in Section C.

SEE SUMMARY OF CHANGES

E=pt as provided herein, all temr; and rondillons of the document referc:na:d in Item 9A or lOA., 11 heretofore cl!anged, remains unChanscd and in full force 111d effect.

l5A. NAME AND TITLE OF S1GNER(Type or print) 16A. NAMEANDTITLEOFCONTRAcnNGOFFia:R(fypc or print} LA~ENCE YATES I BRANCH CHIEF

ISB. CONmACTORIOFFEROR

(Signature of person authorized to sign) .EXCEPTION TO SF 30 APPROVIDBYOIRM 11-84

J5C. DA 'TCSJGNJ:D

TEL: 703..s45-1623 EMAIL: la-nce.j.yatuc:i~ail.mil

168. UNITEDSTATESOFAMfR.ICA 16C. OA TE SJ(]IjED ·~ _c:=J ~-= -:... BY. c::r ...c,..c'; • llll.llt ~ > 21-Aug-2013

(Signature ofContTllcting Officer)

3~105-04 STANDARD FORM 30(Rev. 10.83) Prescribed by CEA FAR (48 CFR) 53.243

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HQ0034-08-D-0003 001904

Page 2 of4

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B- SUPPLIES OR SERVICES AND PRlCES

CLIN 00 I 0 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY 0010 1

PCOs #12 and #I3 FFP

UNIT Lot

UNIT PRlCE l<b)(4) I

PCOs #12 and #13: The contractor shall perfrom all services in accordance with the SOW specified in Section C. The delivery date shall be 31 Oct 2013. PURCHASE REQUEST NUMBER: GP081920 131315

NETAMT

ACRNAA

SECTION C -DESCRIPTIONS AND SPECIFICATIONS

The following have been added by full text: PCO 12

1. General Requirements

Statement of Work Build Out of Former Wedge Offices

Valve Change Order July 17,2013

1.1. lfthe scope of work as stated in this document and its attachments conflict with the original contract (HQ0034-08-D-0003-0019), the requirements of this SOW for this modification shall prevail.

1.2. The Contractor shall incorporate all changes into the redlines and as-builts in accordance with the requirements ofthe base contract:

1.3. The DIB Contractor shall adjust their current safety plan to be site specific addressing any additional conditions for this phase of work and provide the associated AHA's as appropriate.

l. Description of New Work:

AMOIJNT l<b)(4) I

l(b)(4)

l(b)(4)

1.1. Demolish the existing ball valve and check valve for the domestic water line that runs into the PAC entry area from the BOFWO space.

l.l. Install a new ball valve with controls and actuator and a new check valve. Both shall be accessible from the chase wall in the BOFWO area of work on basement level.

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2.3. Provide ftre alann monitoring and power for the new actuator. 2.4. Replace pipe from demolished existing valves to new valves. 2.S. Off-hours will be required for outages.

PCO 13

BOFWO - PCO 13: Removing abandoned piping in F Ring corridor near stair 68 entrance 1- Install scaffold in F ring to access abandoned pipe location

2- Drain water from abandoned piping

3- Remove insulation from abandoned piping where possible

HQ0034-08-D-0003 001904

Page 3 of4

4- From the lower mezzanine ramp location wall opening, choke off and secure the sleeved

sections of the two main pipe runs with sling and chain-fall from the existing pipe hangers to

secure the abandoned pipe sections

5- From scaffold in F ring and in small manageable sections, disassemble, cut and remove the

branch lines and associated piping from the main pipe runs

6- In the interstitial space {accessed through MG 667A) and taking care to catch any residual water

in the 4" piping, break the Victaulic piping on the abandoned piping side of the 4" valves and

install blind end caps on the two valves

7- In the interstitial space remove the remaining 4" pipe sections back to the wall and prep th~ wall

penetration for pipe removal from the opposite side of the wall.

8- Dissassemble and lower removing pipe, supports and hangers

9- Move scaffold through F Ring to chase out and remove abandoned lines north to their capped

termination.

10- Chase and remove the two insulated lines as far as possible beyond stair 68 toward the PAC

11- Remove all debris and clean area

SECTION E- INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 00 I 0: INSPECf AT INSPECT BY ACCEPT AT Destination Govenunent

The following Technical Office was added for CLIN 00 I 0: WHS/FSD/ECMICONSTRUCTION MGMT DlVISION (b)(6)

SECTION F- DELIVERIES OR PERFORMANCE

Destination

The following Delivery Schedule item has been added to CLIN 0010:

ACCEPT BY Govemment

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DELIVERY DATE QUANTITY

31-0CT-2013

SHIP TO ADDRESS

HQ0034-08-D-0003 001904

Page 4 of4

UIC

WHS/FSD/ECMICONSTRUCTION MGMT HQOOSO DIY

(b)(6)

: Destination

SECTION G- CONTRACT ADMINISTRATION DATA

Accounting and Appropriation

Summary for the Payment Office

CLIN 0007:

A A- 97Xf?SOf020 PX I 5 I 1730 3208 S49417 RF AC20 160 (CIN HQO 1972214000 I 0000007) was decreased byl(b)(4) _!fro"l(b)(4) lt4 ..... <b_)(4_> __ j

CLIN OOJO: Funding on CLIN 0010 is initiated as follows:

ACRN: AA

CIN: HQO 1972214000 J 0000010

Acctng Data:l(b)(4)

lncrease~(b )(4 ) I Total:l(b){4) I

(End of Summary of Changes)

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Al\fi:."WMENT OF SOLICIT A TION/MODJFICA TIO::'II OF CONTRACT

2 AMENVM Fo;H.HJOIFICATION NO

5 to. iSS" :FO BY

I 'o\HS · ACQUISITIO-. ()(RtCTOfui\TC: 1 Z2' SOVTI1 Cl.ARK ST ~R~INGTON VA :z2202~90~

(."'UOF

~. PHI~ '11\'E DATE

2s.Feb-2014

H00034 • 7 ADM I'NlSfEil..ED BY (If o:ber I hen iltnt M L......;;.._ _ ___ -l WtlS • ACQUI31T;QI'I :)IRECTOAATE

2511 &OVTH Cl.AIIK ST sure Jooo JRliJI<?iON VO. 27:!02 .

~ . I II. NAME A'ND ADDRESS OF COI,lTRACIOR tNu .. Street, Count)', State tmcl Zip Code! 9A. AMI.:1-IDMFNT OF SOUOTA TION NO.

IRONIIRIOGE CONSTRUCTION, INC SHAWN KOOYMAN 98. DATED <.SEE ITFJ.I 11i 1320J N ENON CHJHC~I IUl B WING STE 102 CHESTER VA 23ll36.:1 122

X lOA. MOO. OJ l'O:-mtACT:OROER 1\:0. HQ003~·o.<I003-0019

IO.B. DATID (SEE ITEM 13)

(ODE 4CZC8 IFA ClllTY CODE X 27 ..Sep-2012 11. THIS ITEM ONl..Y AI'PUES TO AMENDMENTS Of SOUt1TA nuNS

[One Gbo••etJurrbcrcd ~licitntin11 i< aulOO!cJ u !I!! forth in htt11 U . 1 be hour nn<l dole •peciltcd larr<£dpt oJ 0/!'er D '•CI."CCCCIdcd, 0 i~ nnl eldctldod

Offer nlllii ~K:lmowl.:dat. ·~•t nfthis ameJldDlaJt priol' tnt he hour ond dJte specUi<tl•nthe !OlicltBtion or illlllllllldcd by one oft he l'ollowinlttllCihod.<i : (a) Dy con.,IEtius: [1,-nl\ H Md 1 S. ond rmuming _ _ copiftl of the ..,...dt-1: lbJ IIy •cb.owlDdtOag r~l 'lfthilame~tdnJent en eod1 cx-py of :ho 111T.,. suhtuillad: C1l' (cl Jly •cpar:ll~ lcucr or ltlqpm which irlc:l~•lcs u n:k'Rocc to the •oh.,laliun and lftndlllCIII 11111!1bcn. f Al\-UR£ or YOI!lt ACK:-<O\vtE.D().\1011 TU BE IU..1'1 IVElJ AT TR6 PI AC'F.Of.$10NA1'F.T> J'OR THF.R.ECI:JPJ U~ OfFERSPJlOR TOTI!EIIOURANO DATfSPfC:.flED MAYR.ESULT [N

JU::IU'I'liiN m · 'OUit OffER. !£by \'trilla of lhi. um&.1tdlllCllt you dt,iiT 111 <'11111\tplt an olfc:r alrcedy submitted, tuch clllft91!: 1'1111\' be 1110de h}· tel•pam or lener. [lriiiJdc-11 ea.:l.o tck:.,lllll or letter mnlcr• rcforaM 111 the 101icitolion ~nd tb•~ lllt>aulmeul, and is n:Cld•·ecl prior In I he ormin~ ltwr tLfnl dnto ~ptcif~ed.

11 AL't'OUNTINGANDAI'I'ROPIUA'!'ION :>ATA (lf n:'lll ~d/

See Schedule

1.\. l'l:tlS ITEM APPU!'S Ul'-l YTO MODIFICA noNS OH Ul\' l ki\.<.TS:OROERS. rr MOOTFifS TP.ECOI'-41RACT/ORDI:.R NO. AS DESCIUBfD IN rTEM 14.

A. TJ US nlll ii;(,,Z ORDER IS ISSUED l'liRSI :A NT TO: <Sped!)· ~ut!u.rity\ THE OfAt\t'ii:S SET J.'OR'I'I liN IT .EM I~ ARE MADE JN mE (ONTRA I 1' ORDER NO. IN ITEM 10/• ,

n. Tiff. ,\00\'C NUMllCJUD C'O:"'TR \II ORDER IS Ml lJ')IFI!l> TO REfl.E('T n IE ADMINISTlt-\ ffi'E C1U. t-:CJ'S t~uch «• chr.nses ill JI•Yinl,( otf~~:c, appropriat ion t!Qtc, etc.) ~ET FORT!I TN I J I·M 14-, .PURSUANT TU 11tE At;THOIUTYOF t'AK 4.1.103iBJ.

X C. Tln~ :\lll'f' l .f.l.ofi:.'N'J'ALAC.'R.l:l.:Miil\1' 1!'\ I·'\ J l:'ltEI) INTO Pl1RStlt\ '(f 1'0 AllniOIUTYOf: FAR 52.243·4 Chiii"OIII~

ID· OTHl:'R tSp~dfy trpe of~mditiation and authori:} 1

F. TMPORTAt.T: C<1nlnlctor 0 U. uot. ~ i• n·quil:e<i to sign thbl <lucuu~ent :u1d return 1 copi~c to Lht inning oiTICe.

14. DESCRJI'J ION 01' /\MFIID'M.EilTiMODJFJ\.\ Til)]\ (~anl11:d by IXT 'ectioD bc~rl in~t~ 01~lllding solicitatlon/courl'l\ct ~I•I>Jet•l uun~t wh~ (.,:l!lib lt .) ~. lo<ltlicauon C'onlrol'Nutri>a: gpincl(ni"11

TI-e purpose of this modification is to: 1. Adminislratilely •e81ign funding in the an)O\a1t or $24,1€9.75 tom CL>N 0007·Conlingency to CLIN 0011. As a result of lhl$ realignment, the Nol to Exct~~ed amount fer CLIN 0007 hf!S heen reduced to f;160,449.25. ~ lrcorporate CLIN 0011 b' PCO 710015 - Isolation Val14s/Culolf Swilch In the amol.l'lt at !>24,169.75.

SEE SUMMARY OF CHANGES

-

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AMENDMENT OF SOLICIT A TION/MODIF1CA 110N OF CONTRACT 11. CONT~CT JD CODE I PAGEOF PAGE'S

1 1 3 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUJSTTJON/PURCHASEREQ. NO. 15. PROJECT NO.(lf appli:able)

05 25-Feb-2014 SEE SC1-IEDLlE

6. ISSUED BY CODE HQ0034 7. ADMINISTERED BY (If other than item 6) CODE l HQ0034

VIti$- ACQUISITION DIRECTORATE Vlt!S- ACQUISITION DIRECTORATE 2521 SOUTH CLARK ST

1225 SOUTH CLARK ST SUITE 3000 ARLINGTON VA 22202~909 ARLINGTON VA 22202

8. NAME AND ADDRESS OFCONrnACTOR (No , Street, County, Stale and Zip Code) 9A. AMENDMF-.:NT OF SOUCn'ATION NO. IRON! RIDGE CONSTRUCTION. INC SHA\'\N KOOYMAN \18. DATID (SEE ITEM II) 13203 N ENONCHURCH RD B WNG STE 102 CHESTER VA 23836~122

X lOA. MOD. OF OONTRACf/ORDFR NO. H00034-08-0-0003-0019

JOB DATED {SEE ITr:M 13)

CODE 4CZC8 lrAOUTI CODE X 27 -Sep-2012

II. THIS ITEM ONLY APPU~ TO AMENDMEm'S OF SOUCrJ'A 110NS

DThe above !liiil1be:r1XI solicitation is amended u set fonh mltem 14. The hour arxl dlle spa:ifio:J for m;cipl oCOifer 0 is ccu:ndod, 0 is not wended.

OITer mwl a.;knowlcxlgc tW<~p1 of' this amendmtnl prior to the hour and dale specified in the solicitation or as IIITICIIded by one of the followi111! mc:lhodJ (a) Hy wmpleting Items 8 !llld IS. ard relummg __ oopies of the amendment; (b) By acknowlcd~ng r.,;cipt of this amendment on each oopy oft he off~ submitted; or (c) By sc:p11rate letter or telegram Whioh includes a reference to the solicitation and IIITICIIdment numbers. FAILURE OF YOUR ACK NOWLF.DOM E.'NT TO BE RP.CEIWJ.> AT rHE PI.ACE J)ESIGNA TF.D FOR Tl IE RECEIPT OF m'l'l ;RS PRIOR TO Tl IE. HOU~ AND DATE SPli.CIJilr::J) MAY RE.~UI ;r IN

REJ'ECTJON 01' YOUR OFFER. lfby vin ue of thl! amendment you &:sin: to chllll!J= an orrcr already submitted. SliGh chan.!Jl may be ITialle by tciCIJilm or I~ tel',

provided each tclc~ or leiter mllk.:s reference to the solicitation lll'od this amendment, and is rccetvcd prior to the opening hour and dlle ~p..cificd.

12. ACCCXJNTINGANO APPROPRIATION DATA (lt'rcquircd)

See Schedule

13. THIS ITF.M A PPI.JI·:S ONL YTO MODIFJCA TIONS OF CONTRA<.."TS/ORDt-RS. IT M0011'11.3 Tl IECONTRACI'/ORDffi NO AS OffiCRJBED IN rTF.M 14.

A. THIS CllANC£0ROffi IS ISSlilD PURSUANT TO: (Sp~-city authority) TJIEO IAN\~ SET FORTH IN IT~ 14 ARF. MADP. IN TilE CONTRA<.."TORDfRNO IN IT~ lOA.

B. THEABOVF. NUM BFRF.DCONTRACI"/ORDt-~ IS MOOIF111.HO Rl:l:UI:T TilE AOMJNISTRATivt: GIAN<iffi (such as changes in paying office. appropriation date, etc.) SUr FOR'IlliN l'n:M 14, PURSUANT TOTHF.AlJri·IORITY OF FAR 43. !OJ( B).

X C. Tl liS SUPPI...EMFNT A L i\GRFF.MFNT IS FNTF.RFD INTO PlJRSUA Nf TO A lflliORITY OF: FAR 52.243-4 Changes

D. OTHER (Spc:c ify type of rrudification and uuthorny)

E. IMPORTANT: Contlllctor 0 is not. 0 is required to sign thtl document and R:tum 1 copies to the issuing off tee.

14. DI.OCR.WOON OF AMfNOMENT'IMODifiCA nON (Q-gani2rd by UCF sect1011 headings, including solicitatiOn/contract sub )CCI rmttcr where kasible.) Modifocation Control Number. gpinckn1411

The purpose of this modification is to; 1. Administrati..ely realign funding in the amount of $24,169.75 tom CUN 0007-Contingency to CLIN 0011. As a result of this realignment. the Not to Exceed amount for CLIN 0007 has been reduced to $180,449.25.

2. Incorporate CLIN 0011 for PCO 10015 -Isolation Val\es/CtAofl' Switch in the amount of $24,169.75.

SEE SUMMARY OF CHANGES

Extept as provided herein.llllterms and conditions of the document teferenced in Item 9A or lOA, as heretofotechanged. remains unchanged and in full force and effect .

15A. NAMEANDTITlEOF SIGNER.(Type orprinl)

158. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

EXCEPTION TO SF 30 APPROVIDBYOIRM 11-84

ISC. DA~SIGNFD

16A. NAME ANDTITLEOF CONI'RACTING OFFICER (Type or print) LAW'lENCE YATES/ BRANCH CHIEF

TEL. 703-645-1623

168. UNITIDST A TES OF AMERJCA

BY ·~ ~ ~· lillie -§/.

(Signature ofConuacting Officer)

EMAIL: llwren~ .J . y81esc'v~ait.m't

16C DA TESIGNED

~ 27-Fet>-2014

STANDARDFORM30(Rev. 10-&3) Prescnbed by CSA FAR(48 CFR) 53.243

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SECTrON SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B- SUPPLIES OR SERVICES AND PRICES

CLIN 00 II is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY 0011 I

PCO # 15 - Isolation Valves/Cutoff Switch FFP

UNIT Lot

UNIT PRICE l(b)(4) I

PCO # 15 - Isolation Valves/Curoff Switch : The contractor shall perform all services in accordance with the SOW associated with PCO # 15. J>URCHASE REQUEST NUMBER: HQO 1972214000 1000

NETAMT

ACRN AA

SECTION E- INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0011: INSPECT AT INSPECT BY ACCEPT AT Destination Government Destination

SECTION F- DELIVERIES OR PERFORMANCE:

The following Delivery Schedule item has been added to CLTN 00 II:

DELIVERY DATE QUANTITY SHIP TO ADDRESS

HQ0034-08-D-0003 001905

Page 2 oJ3

AMOUNT l(b)(4) I

l(b)(4)

l(b)(4)

ACCEPT BY Governmc.nt

UIC

19-DEC-2013 WHS/FSD/ECM/CONSTRUCTION MGMT HQOOSO DIVISION

FOB: Destination

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SECTION G - CONTRACT ADMIN lSTRA TION OAT A

Accounting and Appropriation

Summary for the Payment Office

CLJN 0007:

HQ0034-08-D-0003 001905

Page 3 of3

AA: 97X4950.2020 PX151 7730 3208 S49447 RFAC20160 (CTN HQ019722 1400010000007) was decreased byl(b )( 4) lrroml(b )( 4) ~q(b )( 4) I CLIN 0011: Funding on CLIN 00 I I is initiated as follows:

ACRN: AA

CIN: HQ0197221400010000011

Acctng Data:jL(b_)_(4_) --------------...J lncrease:L.j(b_)(_4 > _ ___,

Totati (b)(4)

(End of Summary of Changes)

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DOC_ID o: DOV PAYDATE MP_~ACRN APPR ASTN I CONTRAICONTRAISHIPMENAMOlJNT 2.48E+ II # A231-50 12/21/2012 AA 97X49502 4944 7 HQ0034m 19 SERV002 (b)(

4)

2.48E+l t # A231-50 12/21/2012 AA 97X49502 49447 HQ0034m 19 SERV002 2.486+11 # A48l-66 3/28/2013 AA 97X49502 49447 HQ0034m 19 SERV004 2.48E+ l l # A481-66 3/28/2013 AA 97X49502 49447 HQ0034m 19 SERV004 2.48E+ 11 # A48l-66 3/28/2013 AA 97X49502 49447 HQ0034m 19 SERV004 2.48E+l 1 # A296-43 1123/2014 AB 97X49502 49447 HQ0034m 19 SERV013 2.48E+ll # A296-43 1/23/2014 AA 97X49502 49447 HQ0034m 19 SERV013 2.48E+ 1 I # A296-43 1/23/2014 AA 97X49502 49447 HQ0034m 19 SERV013 2.48E+11 # A296-43 1/23/2014 AA 97X49502 49447 HQ0034m 19 SERV013 2.48E+l1 # A296-43 1/23/2014 AA 97X49502 49447 HQ0034m 19 SERVOI3 2.48E+ 11 # A296-43 1/23/2014 AA 97X49502 49447 HQ0034m 19 SERV013 2.48E+ 1 I # A317 -43 l/30/2014 AA 97X49502 49447 HQ0034m 19 SERV015 2.48E+ 11 # A317 -43 1/30/2014 AB 97X49502 49447 HQ0034m 19 SERV015 2.486+11 # Al94-43 12/11/2012 AA 97X49502 49447 HQ0034m 19 SERV001 2.48E+ 11 # A457-63 3/24/2014 AA 97X49502 49447 HQ0034m 19 SERV016 2.48E+ ll # A457 -63 3/24/2014 AB 97X49502 49447 HQ0034m 19 SERV016 2.48E+ 11 # A640-42 6/2/2014 AA 97X49502 49447 HQ0034m 19 SERV170 2.48E+l t # A364-53 2118/2014 AB 97X49502 49447 HQ0034m 19 SERV014 2.48E+11 # A364-53 2/18/2014 AA 97X49502 49447 HQ0034m 19 SERV014 2.48E+ II # A364-53 2/18/2014 AA 97X49502 49447 HQ0034m 19 SERVOI4 2.48E+ 11 # A364-53 2/18/2014 AA 97X49502 49447 HQ0034m 19 SERV014 2.48E+ 11 # A898-47 9/6/2013 AB 97X49502 49447 HQ0034m 19 SERVOIO 2.48E+ 11 # A898-47 9/6/2013 AA 97X49502 49447 HQ0034m 19 SERV010 2.48E+ t J # A898-47 9/612013 AA 97X49502 49447 HQ0034m 19 SERVOlO 2.48E+ 11 # A898-47 9/6/2013 AA 97X49502 49447 HQ0034m 19 SERVOIO 2.48E+ I l # A898-47 9/6/2013 AA 97X49502 49447 HQ0034m 19 SERV010 2.48E+ 11 # A898-47 9/6/2013 AA 97X49502 49447 HQ0034m 19 SERVOIO 2.48E+ 11 # A898-47 9/6/2013 AA 97X49502 49447 HQ0034m 19 SERVOlO 2.48E+ 11 # A544-44 4/22/2013 AA 97X49502 49447 HQ0034m 19 SERV005 2.48E+ 1 1 # A544-44 4/22/2013 AA 97X49502 49447 HQ0034m 19 SERV005 2.48E+ 11 # A544-44 4/22/2013 AA 97X49502 49447 HQ00340~ 19 SERV005 2.48E+lJ # A544-44 4/22/2013 AA 97X49502 49447 HQ0034m 19 SERV005

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2.48E+ ll # A544-44 4/22/2013 AA 97X49502 49447 HQ00340~ 19 SERV005 (b)(4)

2.48E+ 11 # A600-53 5110/2013 AA 97X49502 49447 HQ0034m 19 SERV006 2.48E+I t # A600-53 5/l0/2013 AA 97X49502 49447 HQ0034m 19 SERV006 2.48E+ 11 # A600-53 5110/2013 AA 97X49502 49447 HQ0034m 19 SERV006 2.48E+ II # A600-53 5/10/2013 AA 97X49502 49447 HQ0034m 19 SERV006 2.48E+ 11 # A 7 55-45 7/9/2013 AA 97X49502 49447 HQ0034m 19 SERV008 2.48E+11 # A 755-45 7/9/2013 AA 97X49502 49447 HQ0034m I9 SERV008 2.48E+l1 # A 755-45 7/9/2013 AA 97X49502 49447 HQ0034m 19 SERV008 2.48E+ II # A 755-45 7/9/2013 AA 97X49502 49447 HQ0034m 19 SERV008 2.48E+11 # A 7 55-45 7/9/2013 AA 97X49502 49447 HQ0034m 19 SERV008 2.48E+l1 # A878-57 8/29/2013 AA 97X49502 49447 HQ0034m 19 SERV009 2.48E+ 11 # A878-57 8/29/2013 AA 97X49502 49447 HQ0034m 19 SERV009 2.48E+ II # A878-57 8/29/2013 AA 97X49502 49447 HQ0034m 19 SERV009 2.48E+ 11 # A878-57 8/29/2013 AA 97X49502 49447 HQ0034m 19 SERV009 2.48E+ 11 # A878-57 8/29/2013 AA 97X49502 49447 HQ0034m I9 SERV009 2.48E+ 11 # A878-57 8/29/2013 AA 97X49502 49447 HQ0034m 19 SERV009 2.48E+ ll # A352-49 217/2013 AA 97X49502 49447 HQ00340~ 19 SERV003 2.48E+ 11 # A352-49 217/2013 AA 97X49502 49447 HQ0034m 19 SERV003 2.48E+I t # A352-49 217/2013 AA 97X49502 49447 HQ0034m 19 SERV003 2.48E+1l # A666-59 6/4/2013 AA 97X49502 49447 HQ0034m 19 SERV007 2.48E+ II # A666-59 6/4/2013 AA 97X49502 49447 HQ0034m 19 SERV007 2.48E+ 11 # A666-59 6/4/2013 AA 97X49502 49447 HQ0034m 19 SERV007 2.48E+I1 # A666-59 6/4/2013 AA 97X49502 49447 HQ0034m I9 SERV007 2.48E+l1 # A666-59 6/4/2013 AA 97X49502 49447 HQ0034m 19 SERV007 2.48E+ll # A069-28 10/29/2013 AB 97X49502 49447 HQ0034m 19 SERVOll 2.48E+ 11 # A069-28 10/29/2013 AA 97X49502 49447 HQ0034m 19SERVOI1 2.48E+ I I # A069-28 10/29/2013 AA 97X49502 49447 HQ0034m 19 SERVOll 2.48E+ 11 # A151-67 12/2/2013 AB 97X49502 49447 HQ0034m 19 SERV120 2.48E+11 # A151-67 12/2/2013 AA 97X49502 49447 HQ0034m 19 SERVI20 2.48E+ 11 # Al51-67 12/2/2013 AA 97X49502 49447 HQ0034m 19 SERV120 2.48E+Il # Al51-67 12/2/2013 AA 97X49502 49447 HQ0034m 19 SERV120 2.48E+11 # Al51-67 12/2/2013 AA 97X49502 49447 HQ00340~ 19 SERV120 2.48E+lJ # A151-67 12/2/2013 AA 97X49502 49447 HQ0034m 19 SERV120

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2.48E+ll # Al51-67 2.48E+ll # Al51-67

12/2/2013 12/2/2013

AA AA

97X49502 49447 HQ0034m 97X49502 49447 HQ0034m

19 SERVI20 (b)(4

)

19 SERV120

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LOA