08C0051 P00002

1.
CONTRACT ID CODE PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT J 1 7
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(If applicable)
P00002 27-Mar-2008 WX3JN38058E402
6. ISSUED BY CODE W912CN 7. ADMINISTERED BY (If other than item 6) CODE
ACA-PACIFIC REGION
RCO-HI BLDG 520 PIERCE ST See Item 6
FORT SHAFTER HI 96858-5025
8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO.
ANNELLE AMARAL, CONSULTANT
ANNELLE AMARAL
5019 POOLA STREET
9B. DATED (SEE ITEM 11)
HONOLULU HI 96821-1533
X 10A. MOD. OF CONTRACT/ORDER NO.

W912CN-08-C-0051
10B. DATED (SEE ITEM 13)
CODE 4XS12 FACILITY CODE 4XS12 X 03-Mar-2008
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, is not extended.
Offer must acknowledge receipt of this amendment prior to the hour and date 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 ACKNOWLEDGMENT TO BE
RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN
REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be 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 (If required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

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. IN ITEM 10A.
X 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).
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor X is not, is required to sign this document and return copies to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter
where feasible.)
Modification Control Number: ramild08556
Services: Provide technical and advisory services tor USAG HI Community Relations Program.
a. Contract cited above in block 10a is modified to change the Contracting Officer Represenative from Ben Madeira to Miranda Caban. See
follow ing pages.
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
GARY L GEORGE / CHIEF SSPD
TEL: 808.438.6535 x137 EMAIL: gary.george1@us.army.mil
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
BY 27-Mar-2008
(Signature of person authorized to sign) (Signature of Contracting Officer)
EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA
FAR (48 CFR) 53.243
W912CN-08-C-0051
P00002
Page 2 of 7
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 1449 - CONTINUATION SHEET
DELIVERIES AND PERFORMANCE
The following Delivery Schedule item for CLIN 0001 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
POP 07-MAR-2008 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

16-FEB-2009 WKS DPW
BEN MADEIRA
BLDG 108 442 SANTOS DUMONT AVE
WAAF E
SCHOFIELD BARRACKS HI 96857-5013
8086562440
FOB: Destination
To:
POP 07-MAR-2008 TO N/A ACA-PACIFIC REGION W912CN

16-FEB-2009 MIRANDA CABAN
RCO-HI BLDG 520 PIERCE ST
808.438.6535 X236
FOB: Destination

16-FEB-2009 WKS DPW
BEN MADEIRA
WAAF E
8086562440
FOB: Destination
To:

W912CN-08-C-0051
P00002
Page 3 of 7

808.438.6535 X236
FOB: Destination

16-FEB-2009 WKS DPW
BEN MADEIRA
WAAF E
8086562440
FOB: Destination
To:

808.438.6535 X236
FOB: Destination
POP 17-FEB-2009 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

17-MAR-2009 WKS DPW
BEN MADEIRA
WAAF E
8086562440
FOB: Destination
To:

W912CN-08-C-0051
P00002
Page 4 of 7
POP 17-FEB-2009 TO N/A ACA-PACIFIC REGION W912CN

17-MAR-2009 MIRANDA CABAN
808.438.6535 X236
FOB: Destination

16-FEB-2010 WKS DPW
BEN MADEIRA
WAAF E
8086562440
FOB: Destination
To:

808.438.6535 X236
FOB: Destination

16-FEB-2010 WKS DPW
BEN MADEIRA
WAAF E
8086562440
FOB: Destination
To:

W912CN-08-C-0051
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Page 5 of 7

808.438.6535 X236
FOB: Destination

16-FEB-2010 WKS DPW
BEN MADEIRA
WAAF E
8086562440
FOB: Destination
To:

808.438.6535 X236
FOB: Destination

16-MAR-2010 WKS DPW
BEN MADEIRA
WAAF E
8086562440
FOB: Destination
To:

W912CN-08-C-0051
P00002
Page 6 of 7

16-MAR-2010 MIRANDA CABAN
808.438.6535 X236
FOB: Destination
The following have been modified:
LOCAL CLAUSE 52.400.4300

WAWF INVOICING INSTRUCTIONS AND PAYMENT FOR SUPPLIES/SERVICES/CONSTRUCTION
Invoices for services rendered under this Contract shall be submitted electronically through Wide Area Work Flow.
The vendor shall self-register at the web site https://wawf.eb.mil/.

Vendor training is available on the Internet at: http://wawftraining.com/
Under this contractual document, contractor is required to submit the following type of invoice utilizing WAWF.
X Select the Invoice only within WAWF as the invoice type – Creates Stand Alone Invoice
__ Select the 2-in-1 Invoice within WAWF as the invoice type. Creates two documents, an Invoice and a Receiving
Report, within one data entry session. The 2-in-1 Invoice prepares the Material
Inspection and Receiving Report, DD Form 250, and invoice in one document. Back up documentation (such as
timesheets, etc.) can be included and attached to the invoice in WAWF.
___ Construction – Creates a Construction Payment Invoice from a contract for construction. Both an inspection
and a contracting officer must review and accept.
The following information is provided for completion of the invoice in WAWF:
Issuing Office DODAAC: W912CN

Admin DODAAC: W912CN
Acceptor DODAAC: W912CN
LPO DODAAC: NA (only applicable if you have Navy funding
Pay DODAAC: (See Block 18, SF 1449)
Receiver/Acceptor: Miranda Caban
Contract Specialist: (See Block 7, SF 1449)
Contracting Officer: (See Block 31, SF 1449)
Contract Number: (See Block 2, SF 1449)
The contractor shall submit invoices for payment per contract terms.
The Government shall process invoices for payment per contract terms
SUBMISSION OF INVOICE TO THE PAYING OFFICE
a. Submit invoice to paying office by facsimile (FAX). The FAX number for Army Vendor Pay is 1-866-
381-5769.
W912CN-08-C-0051
P00002
Page 7 of 7
b. The address for Army Vendor Pay is:
DFAS INDIANAPOLIS
DEPT 3800
8899 EAST 56TH STREET
INDIANAPOLIS IN 46249-3800
PHONE: 1-888-332-7366
c. Submit one (1) informational copy of invoice to:
COR Miranda Caban

ACA-Pacific Region, RCO-HI
BLDG 520 Pierce St. Basement
Fort Shafter, HI 96858-5025
email; miranda.caban@us.army.mil
FAX: 808-438-1337
One additional copy to:

Regional Contracting Office Hawaii
ATTN: SFC-PRH-P Omega Division
Bldg 520 Basement Pierce St.
Fort Shafter HI 96858-5025
email: diane.baltunado@us.army.mil
DFARS 252.246-7000 MATERIAL INSPECTION AND RECEIVING REPORT (MAR 2003)
a. At the time of each delivery of supplies or service under this contract, the Contractor shall prepare and
furnish to the Government a material inspection and receiving report in the manner and to the extent required by
Appendix F, Material Inspection and Receiving Report (DD Form 250)of the Defense FAR Supplement.
b. Contractor submission of the material inspection and receiving information required by Appendix F of
the Defense FAR Supplement by using the Wide Area WorkFlow-Receipt and Acceptance (WAWF-RA) electronic
form (see paragraph (b)(1) of the clause at 252.232-7003) fulfills the requirement for a material inspection and
receiving report (DD Form 250).
(End of clause)
NOTE: For this contract, the Contractor shall prepare and submit a Material Inspection and Receiving Report to the
Contracting Officer's Representative (COR) on a monthly basis, for work performed during each calendar month.
Unless otherwise specified, acceptance will be performed monthly by the COR.
(End of Summary of Changes)

08C0051 P00002

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1.

CONTRACT ID CODE PAGE OF PAGES

P00002 27-Mar-2008 WX3JN38058E402

6. ISSUED BY CODE W912CN 7. ADMINISTERED BY (If other than item 6) CODE

X 10A. MOD. OF CONTRACT/ORDER NO.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

D. OTHER (Specify type of modification and authority)

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SECTION SF 1449 - CONTINUATION SHEET

DELIVERIES AND PERFORMANCE

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 07-MAR-2008 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 07-MAR-2008 TO N/A ACA-PACIFIC REGION W912CN

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 07-MAR-2008 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 07-MAR-2008 TO N/A ACA-PACIFIC REGION W912CN

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 07-MAR-2008 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 07-MAR-2008 TO N/A ACA-PACIFIC REGION W912CN

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A ACA-PACIFIC REGION W912CN

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A ACA-PACIFIC REGION W912CN

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A ACA-PACIFIC REGION W912CN

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2009 TO N/A ACA-PACIFIC REGION W912CN

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2010 TO N/A US ARMY GARRISON HI DIR OF PUB WX3JN3

DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

POP 17-FEB-2010 TO N/A ACA-PACIFIC REGION W912CN

The following have been modified:

LOCAL CLAUSE 52.400.4300

The vendor shall self-register at the web site https://wawf.eb.mil/.

The following information is provided for completion of the invoice in WAWF:

Issuing Office DODAAC: W912CN

SUBMISSION OF INVOICE TO THE PAYING OFFICE

b. The address for Army Vendor Pay is:

c. Submit one (1) informational copy of invoice to:

COR Miranda Caban

One additional copy to:

DFARS 252.246-7000 MATERIAL INSPECTION AND RECEIVING REPORT (MAR 2003)

(End of Summary of Changes)

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