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Contract 43592-A2 (2)
CITY SECRETARY CONTRACT NO. 4 Z ikZ AMENDMENT OF SOLICITATION/MODIMCATION OF CONTRACT 1. CONTRACTID CODE PAGE OF PAGES 1 2 2, AMENDMENT/MODIFICATION NO, 3, EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ, NO. 5. PROJECTNO.(Ifapplicable) ©Q 05-Dec-2012 6, ISSUED BY CODE N69450 7. ADMINISTERED BY (Ifotherthan item6) CODE NAVFAC SOUTHEAST See Item 6 ACQ CORE UTILITIES BLDG 903, PO BOX 30 JACKSONVILLE FL 32212-0030 8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) OF SOLICITATION NO. FORT VtORTH, CITY OF 151111THAVE "ORTH TX 76102-4= f9A.AMENDMENT DATED SEE ITEM 11FORT () MOD. OF CONTRACT'/ORDERNO. 450-12-C-0062 X 1 IOB. DATED (SEE ITEM 13) 28-Aug-2012 CODE 064136 IFACILITY CODE 11, THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS El'Ibe above numbered solicitation is amended asset forth in Item 14. The hour and date specified for receipt ofOfar ❑ is extended, ❑ is not extended. Offer must acknowledge receipt ofthis amendment prior to the hour and date specified in the solicitation or as amended by one ofthe following methods: (a) By completing Items 8 and 15, and returning copies ofthe amendment; (b) By acknowledging receipt ofthis amendment on each copy ofthe offersubnitted; or (c) By separate letter or telegram which includes a reErence 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. Ifby virtue ofthis amendment you desire to change an offer already subrnitted, such change may be made by telegram or letter, provided each telegramorlettermakes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified. 12. ACCOUNTINGAND 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. 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 FAR43.103(B). X C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: FAR 52.243-1 ALT I Changes - Fixed Price D. OTHER (Specify type of modification and authority) A4 OR'r' � E. IMPORTANT: Contractor is not, E] is required to sign this document and return 1 copies to the issuin dodo Ob0 14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized b UCF section headings, g ° ( g y gs, including solicitation/contract su tter where feasible.) �`1,0 c% Modification Control Number: jacada5513528 rp o Prepared by: Garske, Robert B. 0 d o°b obbbboo°boo Incorporate a new wastewater rate of $2.50 per 100 cubic feet for all wastewater accounts `�� a b° � b ° �n70 �, See page 2 for details Reason Code: SCPE 1. Kayser, City Acceptance of this modification by the contractor constitutes an accord and satisfaction an represents payment in full for both time and money and for any and all costs, impact effect, and for delays and disruptions arising out of, or incidental to, thew ork as herein revised. Except as provided herein, all terms and conditions ofthe document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect. 15AA NAME AND TITLE OF SIGNER (Type or print) I(�1A ME AND TITLE CONTRACT ING OFFICER (Type or print) ernank Costa, Asst 0 Manager �r g0� TEL: 9 EMAIL 1 'pf2— �O sz (106cr •A e.rSkC RwV .v1t/ 15 OR/OFF 15C. DATE SIGNED 16B, ITE ST AMERI 16C. DATE SIGNED aLmna �j �Z` BY 1/1/ Mf f 3 (Signature of person authorized to sign) of Contracting fficer) EXCEPTION TO SF 30 1tiI'i'1t€i I Y� AS '4s I ii � ,l3tQt $=P&ALI1 Y: IA� o ORM 30 (Rev. 10-83) APPROVED BY OIRM 11-84 CITY SEC �� � 53,243 FT. WORTH, TX Assistant City &U6x 4nty N69450A 2-C-0062 (jacada5513528) Page 2 of 2 SECTION SF 30 BLOCK 14 CONTINUATION PAGE SUMMARY OF CHANGES SECTION SF 30 -BLOCK 14 CONTINUATION PAGE The following have been added by full text: P00001 Each year the City of Fort Worth's Water Department conducts cost of service studies establishing annual operating revenue requirements for retail water and wastewater services. The Fiscal Year 2013 cost of service studies identified a need for an increase in retail revenue requirements. A wastewater rate of $2.50 ($.09 increase) per 100 cubic feet was determined appropriate for all industrial monitored class wastewater accounts. The new rate was incorporated into the City Ordinance #20405-09-2012 on 18 September 2012 and will take effect 01 January 2013, The City's fresh water rate remains unchanged and will reflect 2012 pricing. Accounts at $2.50 effective O1 January 2013: 574173-277906 574173-277908 574173-277910 574173-277916 574173-277918 574173-277920 547173-278052 Account 574173-277908 was miscategorized as an Industrial Monitored Meter and a premium rate was applied. This incorrect rate was caught and the City will be charging the Government the same Monitored Group rate of $2.50 from the next billing cycle forward. An adjustment dating back two (2) years will be applied to a future bill as a credit. CNIC account 1096959-277914 is a fireline freshwater account and will remain unchanged from 2012 pricing. The 2013 rate schedule can be found on the City of Fort Worth Water Department's Website: http://fortworthtexas.gov/water/info/default.aspx?id—I 02228 (End of Summary of Changes)