(b) (6)

(b) (6) (b) (6) (b) (6)

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32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

 (CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

37

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT 

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

COMPLETE PARTIAL FINAL

35. AMOUNT VERIFIED 36. PAYMENT

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV 4/2002) BACK

Prescr bed by GSA

FAR (48 CFR) 53 212

AUTHORIZED FOR LOCAL REPRODUCTION 

 PREVIOUS EDITION IS NOT USABLE

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Section SF 1449 - CONTINUATION SHEET

05-2241 ME,STATEWIDE

SCA WAGE DETERMINATION

WAGE DETERMINATION NO: 05-2241 REV (01) AREA: ME,STATEWIDE

HEALTH AND WELFARE LEVEL - INSURANCE ONLY **OTHER WELFARE LEVEL WD:05-2242

******************************************************************************

REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

 THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

 | WASHINGTON D.C. 20210

| 

| 

| 

| Wage Determination No.: 2005-2241

William W.Gross Division of | Revision No.: 1

Director Wage Determinations| Date Of Revision: 08/25/2006

_______________________________________|______________________________________

_ 

State: Maine

Area: Maine Statewide

______________________________________________________________________________

_ 

 **Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE MINIMUM WAGE RATE

01000 - Administrative Support And Clerical Occupations

 01011 - Accounting Clerk I 10.76

 01012 - Accounting Clerk II 12.07

 01013 - Accounting Clerk III 13.64

 01020 - Administrative Assistant 17.80

 01040 - Court Reporter 13.76

 01051 - Data Entry Operator I 10.83

 01052 - Data Entry Operator II 12.93

 01060 - Dispatcher, Motor Vehicle 14.99

 01070 - Document Preparation Clerk 10.86

 01090 - Duplicating Machine Operator 10.86

 01111 - General Clerk I 9.85

 01112 - General Clerk II 10.90

 01113 - General Clerk III 11.94

 01120 - Housing Referral Assistant 15.13

 01141 - Messenger Courier 10.37

 01191 - Order Clerk I 11.04

 01192 - Order Clerk II 14.38

 01261 - Personnel Assistant (Employment) I 12.91

 01262 - Personnel Assistant (Employment) II 14.38

 01263 - Personnel Assistant (Employment) III 15.80

 01270 - Production Control Clerk 19.08

 01280 - Receptionist 10.62

 01290 - Rental Clerk 10.06

 01300 - Scheduler, Maintenance 12.35

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 01311 - Secretary I 12.35

 01312 - Secretary II 13.76

 01313 - Secretary III 15.13

 01320 - Service Order Dispatcher 11.10

 01410 - Supply Technician 17.80 

 01420 - Survey Worker 11.37

 01531 - Travel Clerk I 11.33

 01532 - Travel Clerk II 12.27

 01533 - Travel Clerk III 13.22

 01611 - Word Processor I 11.44

 01612 - Word Processor II 14.73

 01613 - Word Processor III 16.34

05000 - Automotive Service Occupations

 05005 - Automobile Body Repairer, Fiberglass 14.90

 05010 - Automotive Electrician 14.37

 05040 - Automotive Glass Installer 13.41

 05070 - Automotive Worker 13.41

 05110 - Mobile Equipment Servicer 12.27

 05130 - Motor Equipment Metal Mechanic 14.43

 05160 - Motor Equipment Metal Worker 13.42

 05190 - Motor Vehicle Mechanic 14.43

 05220 - Motor Vehicle Mechanic Helper 12.22

 05250 - Motor Vehicle Upholstery Worker 12.85

 05280 - Motor Vehicle Wrecker 13.41

 05310 - Painter, Automotive 14.37

 05340 - Radiator Repair Specialist 13.41

 05370 - Tire Repairer 11.67

 05400 - Transmission Repair Specialist 14.43

07000 - Food Preparation And Service Occupations

 07010 - Baker 11.03

 07041 - Cook I 10.52

 07042 - Cook II 11.50

 07070 - Dishwasher 7.73

 07130 - Food Service Worker 8.84

 07210 - Meat Cutter 12.68

 07260 - Waiter/Waitress 9.22

09000 - Furniture Maintenance And Repair Occupations

 09010 - Electrostatic Spray Painter 18.45

 09040 - Furniture Handler 11.81

 09080 - Furniture Refinisher 14.57

 09090 - Furniture Refinisher Helper 12.42

 09110 - Furniture Repairer, Minor 13.59

 09130 - Upholsterer 14.57

11000 - General Services And Support Occupations

 11030 - Cleaner, Vehicles 9.85

 11060 - Elevator Operator 9.73

 11090 - Gardener 12.01

 11122 - Housekeeping Aide 9.73

 11150 - Janitor 10.38

 11210 - Laborer, Grounds Maintenance 10.36

 11240 - Maid or Houseman 8.58

 11260 - Pruner 12.98

 11270 - Tractor Operator 10.91

 11330 - Trail Maintenance Worker 10.36

 11360 - Window Cleaner 10.67

12000 - Health Occupations

 12010 - Ambulance Driver 11.85

 12011 - Breath Alcohol Technician 15.93

 12012 - Certified Occupational Therapist Assistant 17.65

 12015 - Certified Physical Therapist Assistant 17.90

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 12020 - Dental Assistant 13.47

 12025 - Dental Hygienist 27.24

 12030 - EKG Technician 20.54

 12035 - Electroneurodiagnostic Technologist 20.54

 12040 - Emergency Medical Technician 11.85

 12071 - Licensed Practical Nurse I 12.77

 12072 - Licensed Practical Nurse II 14.29

 12073 - Licensed Practical Nurse III 15.93

 12100 - Medical Assistant 12.71

 12130 - Medical Laboratory Technician 14.96

 12160 - Medical Record Clerk 10.75

 12190 - Medical Record Technician 13.54

 12195 - Medical Transcriptionist 10.75

 12210 - Nuclear Medicine Technologist 26.54

 12221 - Nursing Assistant I 9.00

 12222 - Nursing Assistant II 10.12

 12223 - Nursing Assistant III 11.05 

 12224 - Nursing Assistant IV 12.39

 12235 - Optical Dispenser 14.14

 12236 - Optical Technician 11.87

 12250 - Pharmacy Technician 12.19

 12280 - Phlebotomist 12.39

 12305 - Radiologic Technologist 22.09

 12311 - Registered Nurse I 20.40

 12312 - Registered Nurse II 24.97

 12313 - Registered Nurse II, Specialist 24.97

 12314 - Registered Nurse III 30.21

 12315 - Registered Nurse III, Anesthetist 30.21

 12316 - Registered Nurse IV 36.18

 12317 - Scheduler (Drug and Alcohol Testing) 16.83

13000 - Information And Arts Occupations

 13011 - Exhibits Specialist I 16.20

 13012 - Exhibits Specialist II 20.05

 13013 - Exhibits Specialist III 24.89

 13041 - Illustrator I 16.20

 13042 - Illustrator II 20.05

 13043 - Illustrator III 24.55

 13047 - Librarian 20.23

 13050 - Library Aide/Clerk 10.23

 13054 - Library Information Technology Systems Administrator 18.28

 13058 - Library Technician 12.75

 13061 - Media Specialist I 11.80

 13062 - Media Specialist II 14.75

 13063 - Media Specialist III 16.44

 13071 - Photographer I 13.54

 13072 - Photographer II 18.61

 13073 - Photographer III 23.02

 13074 - Photographer IV 28.18

 13075 - Photographer V 34.09

 13110 - Video Teleconference Technician 16.17

14000 - Information Technology Occupations

 14041 - Computer Operator I 13.50

 14042 - Computer Operator II 15.16

 14043 - Computer Operator III 16.78

 14044 - Computer Operator IV 18.78

 14045 - Computer Operator V 20.82

 14071 - Computer Programmer I (1) 16.49

 14072 - Computer Programmer II (1) 20.44

 14073 - Computer Programmer III (1) 24.99

 14074 - Computer Programmer IV (1) 27.62

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 14101 - Computer Systems Analyst I (1) 27.62

 14102 - Computer Systems Analyst II (1) 27.62

 14103 - Computer Systems Analyst III (1) 27.62

 14150 - Peripheral Equipment Operator 13.50

 14160 - Personal Computer Support Technician 25.11

15000 - Instructional Occupations

 15010 - Aircrew Training Devices Instructor (Non-Rated) 20.94

 15020 - Aircrew Training Devices Instructor (Rated) 27.62

 15030 - Air Crew Training Devices Instructor (Pilot) 30.38

 15050 - Computer Based Training Specialist / Instructor 26.00

 15060 - Educational Technologist 21.82

 15070 - Flight Instructor (Pilot) 30.28

 15080 - Graphic Artist 19.40

 15090 - Technical Instructor 17.97

 15095 - Technical Instructor/Course Developer 21.97

 15110 - Test Proctor 14.50

 15120 - Tutor 14.50

16000 - Laundry, Dry-Cleaning, Pressing And Related Occupations

 16010 - Assembler 8.82

 16030 - Counter Attendant 8.82

 16040 - Dry Cleaner 10.68

 16070 - Finisher, Flatwork, Machine 8.82

 16090 - Presser, Hand 8.82

 16110 - Presser, Machine, Drycleaning 8.82

 16130 - Presser, Machine, Shirts 8.82

 16160 - Presser, Machine, Wearing Apparel, Laundry 8.82

 16190 - Sewing Machine Operator 11.28

 16220 - Tailor 11.87

 16250 - Washer, Machine 9.47

19000 - Machine Tool Operation And Repair Occupations

 19010 - Machine-Tool Operator (Tool Room) 16.27

 19040 - Tool And Die Maker 20.19

21000 - Materials Handling And Packing Occupations

 21020 - Forklift Operator 13.43

 21030 - Material Coordinator 19.08

 21040 - Material Expediter 19.08

 21050 - Material Handling Laborer 10.23

 21071 - Order Filler 10.35

 21080 - Production Line Worker (Food Processing) 13.43

 21110 - Shipping Packer 12.48

 21130 - Shipping/Receiving Clerk 12.33

 21140 - Store Worker I 11.33

 21150 - Stock Clerk 13.79

 21210 - Tools And Parts Attendant 13.43

 21410 - Warehouse Specialist 13.43

23000 - Mechanics And Maintenance And Repair Occupations

 23010 - Aerospace Structural Welder 17.22

 23021 - Aircraft Mechanic I 16.59

 23022 - Aircraft Mechanic II 17.22

 23023 - Aircraft Mechanic III 17.87

 23040 - Aircraft Mechanic Helper 13.42

 23050 - Aircraft, Painter 15.94

 23060 - Aircraft Servicer 14.64

 23080 - Aircraft Worker 15.30

 23110 - Appliance Mechanic 14.57

 23120 - Bicycle Repairer 12.57

 23125 - Cable Splicer 21.15

 23130 - Carpenter, Maintenance 15.66

 23140 - Carpet Layer 15.07

 23160 - Electrician, Maintenance 19.65

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 23181 - Electronics Technician Maintenance I 16.54

 23182 - Electronics Technician Maintenance II 20.22

 23183 - Electronics Technician Maintenance III 23.22

 23260 - Fabric Worker 15.80

 23290 - Fire Alarm System Mechanic 15.85

 23310 - Fire Extinguisher Repairer 15.52

 23311 - Fuel Distribution System Mechanic 19.61

 23312 - Fuel Distribution System Operator 17.65

 23370 - General Maintenance Worker 15.24

 23380 - Ground Support Equipment Mechanic 16.59

 23381 - Ground Support Equipment Servicer 14.64

 23382 - Ground Support Equipment Worker 15.30

 23391 - Gunsmith I 15.52

 23392 - Gunsmith II 17.13

 23393 - Gunsmith III 18.96

 23410 - Heating, Ventilation And Air-Conditioning Mechanic 16.77

 23411 - Heating, Ventilation And Air Contditioning Mechanic 

(Research Facility) 17.40

 23430 - Heavy Equipment Mechanic 17.36

 23440 - Heavy Equipment Operator 15.85

 23460 - Instrument Mechanic 19.68

 23465 - Laboratory/Shelter Mechanic 17.92

 23470 - Laborer 10.49

 23510 - Locksmith 15.37

 23530 - Machinery Maintenance Mechanic 17.78

 23550 - Machinist, Maintenance 18.28

 23580 - Maintenance Trades Helper 12.74

 23591 - Metrology Technician I 19.68

 23592 - Metrology Technician II 20.42

 23593 - Metrology Technician III 21.20

 23640 - Millwright 20.24

 23710 - Office Appliance Repairer 17.19

 23760 - Painter, Maintenance 16.00

 23790 - Pipefitter, Maintenance 19.15

 23810 - Plumber, Maintenance 16.90

 23820 - Pneudraulic Systems Mechanic 18.78

 23850 - Rigger 19.13

 23870 - Scale Mechanic 17.13

 23890 - Sheet-Metal Worker, Maintenance 16.89

 23910 - Small Engine Mechanic 14.16

 23931 - Telecommunications Mechanic I 20.02

 23932 - Telecommunications Mechanic II 22.47

 23950 - Telephone Lineman 20.02

 23960 - Welder, Combination, Maintenance 16.47

 23965 - Well Driller 15.85

 23970 - Woodcraft Worker 18.78

 23980 - Woodworker 13.36

24000 - Personal Needs Occupations

 24570 - Child Care Attendant 9.24

 24580 - Child Care Center Clerk 12.93

 24610 - Chore Aide 8.70

 24620 - Family Readiness And Support Services Coordinator 11.66

 24630 - Homemaker 11.84

25000 - Plant And System Operations Occupations

 25010 - Boiler Tender 19.17

 25040 - Sewage Plant Operator 17.77

 25070 - Stationary Engineer 19.17

 25190 - Ventilation Equipment Tender 14.33

 25210 - Water Treatment Plant Operator 17.77

27000 - Protective Service Occupations

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 27004 - Alarm Monitor 13.83

 27007 - Baggage Inspector 10.69

 27008 - Corrections Officer 17.69

 27010 - Court Security Officer 18.56

 27030 - Detection Dog Handler 18.65

 27040 - Detention Officer 17.69

 27070 - Firefighter 17.49

 27101 - Guard I 10.69

 27102 - Guard II 18.65

 27131 - Police Officer I 20.49

 27132 - Police Officer II 22.78

28000 - Recreation Occupations

 28041 - Carnival Equipment Operator 10.13

 28042 - Carnival Equipment Repairer 11.58

 28043 - Carnival Equpment Worker 8.91

 28210 - Gate Attendant/Gate Tender 12.14

 28310 - Lifeguard 10.82

 28350 - Park Attendant (Aide) 13.58

 28510 - Recreation Aide/Health Facility Attendant 9.91

 28515 - Recreation Specialist 14.69

 28630 - Sports Official 10.82

 28690 - Swimming Pool Operator 17.00

29000 - Stevedoring/Longshoremen Occupational Services

 29010 - Blocker And Bracer 17.39

 29020 - Hatch Tender 17.39

 29030 - Line Handler 17.39

 29041 - Stevedore I 15.25

 29042 - Stevedore II 18.17

30000 - Technical Occupations

 30010 - Air Traffic Control Specialist, Center (HFO) (2) 32.38

 30011 - Air Traffic Control Specialist, Station (HFO) (2) 22.33

 30012 - Air Traffic Control Specialist, Terminal (HFO) (2) 24.59

 30021 - Archeological Technician I 15.93

 30022 - Archeological Technician II 17.80

 30023 - Archeological Technician III 20.04

 30030 - Cartographic Technician 21.58

 30040 - Civil Engineering Technician 18.85

 30061 - Drafter/CAD Operator I 14.31

 30062 - Drafter/CAD Operator II 17.44

 30063 - Drafter/CAD Operator III 18.50

 30064 - Drafter/CAD Operator IV 22.76

 30081 - Engineering Technician I 13.68

 30082 - Engineering Technician II 15.27

 30083 - Engineering Technician III 19.00

 30084 - Engineering Technician IV 21.94

 30085 - Engineering Technician V 25.02

 30086 - Engineering Technician VI 30.50

 30090 - Environmental Technician 16.24

 30210 - Laboratory Technician 16.95

 30240 - Mathematical Technician 21.58

 30361 - Paralegal/Legal Assistant I 16.75

 30362 - Paralegal/Legal Assistant II 22.18

 30363 - Paralegal/Legal Assistant III 27.14

 30364 - Paralegal/Legal Assistant IV 32.85

 30390 - Photo-Optics Technician 21.65

 30461 - Technical Writer I 18.33

 30462 - Technical Writer II 22.42

 30463 - Technical Writer III 27.13

 30491 - Unexploded Ordnance (UXO) Technician I 20.58

 30492 - Unexploded Ordnance (UXO) Technician II 24.90

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 30493 - Unexploded Ordnance (UXO) Technician III 29.85

 30494 - Unexploded (UXO) Safety Escort 20.58

 30495 - Unexploded (UXO) Sweep Personnel 20.58

 30620 - Weather Observer, Combined Upper Air Or Surface Programs (3) 18.50

 30621 - Weather Observer, Senior (3) 16.54

31000 - Transportation/Mobile Equipment Operation Occupations

 31020 - Bus Aide 11.95

 31030 - Bus Driver 14.96

 31043 - Driver Courier 11.84

 31260 - Parking and Lot Attendant 8.86

 31290 - Shuttle Bus Driver 12.54

 31310 - Taxi Driver 9.37

 31361 - Truckdriver, Light 12.54

 31362 - Truckdriver, Medium 13.39

 31363 - Truckdriver, Heavy 14.96

 31364 - Truckdriver, Tractor-Trailer 15.07

99000 - Miscellaneous Occupations

 99030 - Cashier 8.21

 99050 - Desk Clerk 9.63

 99095 - Embalmer 22.02

 99251 - Laboratory Animal Caretaker I 9.07

 99252 - Laboratory Animal Caretaker II 11.36

 99310 - Mortician 22.09

 99410 - Pest Controller 13.93

 99510 - Photofinishing Worker 10.22

 99710 - Recycling Laborer 10.94

 99711 - Recycling Specialist 12.89

 99730 - Refuse Collector 10.39

 99810 - Sales Clerk 11.47

 99820 - School Crossing Guard 8.34

 99830 - Survey Party Chief 16.38

 99831 - Surveying Aide 11.17

 99832 - Surveying Technician 14.89

 99840 - Vending Machine Attendant 10.29

 99841 - Vending Machine Repairer 14.11

 99842 - Vending Machine Repairer Helper 10.30

______________________________________________________________________________

__

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $3.01 per hour or $120.40 per week or $521.73 per month

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or

successor; 3 weeks after 10 years, and 4 after 15 years. Length of service 

includes the whole span of continuous service with the present contractor or 

successor, wherever employed, and with the predecessor contractors in the 

performance of similar work at the same Federal facility. (Reg. 29 CFR 4.173)

HOLIDAYS: HOLIDAYS: A minimum of ten paid holidays per year, New Year's Day,

Martin Luther King Jr's Birthday, Washington's Birthday, Memorial Day,

Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, 

and Christmas Day. (A contractor may substitute for any of the named holidays

another day off with pay in accordance with a plan communicated to the 

employees involved.)

(See 29 CFR 4174)

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THE OCCUPATIONS WHICH HAVE PARENTHESES AFTER THEM RECEIVE THE FOLLOWING 

BENEFITS (as numbered):

1) Does not apply to employees employed in a bona fide executive, 

administrative, or professional capacity as defined and delineated in 29 CFR 

541. (See CFR 4.156)

2) APPLICABLE TO AIR TRAFFIC CONTROLLERS ONLY - NIGHT DIFFERENTIAL: An 

employee is entitled to pay for all work performed between the hours of 6:00 

P.M. and 6:00 A.M. at the rate of basic pay plus a night pay differential 

amounting to 10 percent of the rate of basic pay.

3) WEATHER OBSERVERS - NIGHT PAY & SUNDAY PAY: If you work at night as part 

of a regular tour of duty, you will earn a night differential and receive an 

additional 10% of basic pay for any hours worked between 6pm and 6am. If you 

are a full-time employed (40 hours a week) and Sunday is part of your 

regularly scheduled workweek, you are paid at your rate of basic pay plus a 

Sunday premium of 25% of your basic rate for each hour of Sunday work which is

not overtime (i.e. occasional work on Sunday outside the normal tour of duty 

is considered overtime work).

HAZARDOUS PAY DIFFERENTIAL: An 8 percent differential is applicable to 

employees employed in a position that represents a high degree of hazard when 

working with or in close proximity to ordinance, explosives, and incendiary 

materials. This includes work such as screening, blending, dying, mixing, and

pressing of sensitive ordance, explosives, and pyrotechnic compositions such 

as lead azide, black powder and photoflash powder. All dry-house activities 

involving propellants or explosives. Demilitarization, modification, 

renovation, demolition, and maintenance operations on sensitive ordnance, 

explosives and incendiary materials. All operations involving regarding and 

cleaning of artillery ranges.

A 4 percent differential is applicable to employees employed in a position 

that represents a low degree of hazard when working with, or in close 

proximity to ordance, (or employees possibly adjacent to) explosives and 

incendiary materials which involves potential injury such as laceration of 

hands, face, or arms of the employee engaged in the operation, irritation of 

the skin, minor burns and the like; minimal damage to immediate or adjacent 

work area or equipment being used.

All operations involving, unloading, storage, and hauling of ordance, 

explosive, and incendiary ordnance material other than small arms ammunition. 

These differentials are only applicable to work that has been specifically 

designated by the agency for ordance, explosives, and incendiary material 

differential pay.

** UNIFORM ALLOWANCE **

If employees are required to wear uniforms in the performance of this contract

(either by the terms of the Government contract, by the employer, by the state

or local law, etc.), the cost of furnishing such uniforms and maintaining (by

laundering or dry cleaning) such uniforms is an expense that may not be borne 

by an employee where such cost reduces the hourly rate below that required by 

the wage determination. The Department of Labor will accept payment in 

accordance with the following standards as compliance:

The contractor or subcontractor is required to furnish all employees with an

adequate number of uniforms without cost or to reimburse employees for the 

actual cost of the uniforms. In addition, where uniform cleaning and 

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maintenance is made the responsibility of the employee, all contractors and 

subcontractors subject to this wage determination shall (in the absence of a 

bona fide collective bargaining agreement providing for a different amount, or

the furnishing of contrary affirmative proof as to the actual cost), reimburse

all employees for such cleaning and maintenance at a rate of $3.35 per week 

(or $.67 cents per day). However, in those instances where the uniforms 

furnished are made of "wash and wear" materials, may be routinely washed and 

dried with other personal garments, and do not require any special treatment 

such as dry cleaning, daily washing, or commercial laundering in order to meet

the cleanliness or appearance standards set by the terms of the Government 

contract, by the contractor, by law, or by the nature of the work, there is no

requirement that employees be reimbursed for uniform maintenance costs.

 ** NOTES APPLYING TO THIS WAGE DETERMINATION **

Under the policy and guidance contained in All Agency Memorandum No. 159, the 

Wage and Hour Division does not recognize, for section 4(c) purposes, 

prospective wage rates and fringe benefit provisions that are effective only 

upon such contingencies as "approval of Wage and Hour, issuance of a wage 

determination, incorporation of the wage determination in the contract, 

adjusting the contract price, etc." (The relevant CBA section) in the 

collective bargaining agreement between (the parties) contains contingency 

language that Wage and Hour does not recognize as reflecting "arm's length 

negotiation" under section 4(c) of the Act and 29 C.F.R. 5.11(a) of the 

regulations. This wage determination therefore reflects the actual CBA wage

rates and fringe benefits paid under the predecessor contract.

The duties of employees under job titles listed are those described in the

"Service Contract Act Directory of Occupations," Fifth Edition, April 2006,

unless otherwise indicated. Copies of the Directory are available on the 

Internet. A links to the Directory may be found on the WHD home page at

<http://www.dol.gov/esa/whd/> or through the Wage Determinations On-Line 

(WDOL) Web site at <http://wdol.gov/>.

REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE {Standard

Form 1444 (SF 1444)}

Conformance Process:

The contracting officer shall require that any class of service employee which

is not listed herein and which is to be employed under the contract (i.e., the

work to be performed is not performed by any classification listed in the wage

determination), be classified by the contractor so as to provide a reasonable

relationship (i.e., appropriate level of skill comparison) between such 

unlisted classifications and the classifications listed in the wage 

determination. Such conformed classes of employees shall be paid the monetary

wages and furnished the fringe benefits as are determined. Such conforming 

process shall be initiated by the contractor prior to the performance of 

contract work by such unlisted class(es) of employees. The conformed 

classification, wage rate, and/or fringe benefits shall be retroactive to the 

commencement date of the contract. {See Section 4.6 (C)(vi)} When multiple 

wage determinations are included in a contract, a separate SF 1444 should be 

prepared for each wage determination to which a class(es) is to be conformed.

The process for preparing a conformance request is as follows:

1) When preparing the bid, the contractor identifies the need for a conformed

occupation) and computes a proposed rate). 

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2) After contract award, the contractor prepares a written report listing in 

order proposed classification title), a Federal grade equivalency (FGE) for 

each

proposed classification), job description), and rationale for proposed wage

rate), including information regarding the agreement or disagreement of the

authorized representative of the employees involved, or where there is no 

authorized representative, the employees themselves. This report should be 

submitted to the contracting officer no later than 30 days after such unlisted

class(es) of employees performs any contract work.

3) The contracting officer reviews the proposed action and promptly submits a 

report of the action, together with the agency's recommendations and pertinent

information including the position of the contractor and the employees, to the

Wage and Hour Division, Employment Standards Administration, U.S. Department 

of Labor, for review. (See section 4.6(b)(2) of Regulations 29 CFR Part 4).

4) Within 30 days of receipt, the Wage and Hour Division approves, modifies, 

or disapproves the action via transmittal to the agency contracting officer, 

or notifies the contracting officer that additional time will be required to 

process the request.

5) The contracting officer transmits the Wage and Hour decision to the 

contractor.

6) The contractor informs the affected employees.

Information required by the Regulations must be submitted on SF 1444 or bond 

paper.

When preparing a conformance request, the "Service Contract Act Directory of

Occupations" (the Directory) should be used to compare job definitions to 

insure that duties requested are not performed by a classification already 

listed in the wage determination. Remember, it is not the job title, but the 

required tasks that determine whether a class is included in an established 

wage determination. Conformances may not be used to artificially split, 

combine, or subdivide classifications listed in the wage determination.

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STATEMENT OF WORK, REV 1

Maine Air National Guard

101st Air Refueling Wing

107 Pesch Circle Suite 417

Bangor, ME 04401

-ANDSouth Portland ANG Station

50 Western Avenue

South Portland, Maine 04106

Dining Hall Attendant Services

Performance Based Statement of Work

(SOW) 

FY 2007

REV 1, 20 February 2007

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STATEMENT OF WORK (SOW)

I. DESCRIPTION OF SERVICES

1. Scope of Work. The contractor shall, except as specified in this Performance Based Statement of Work 

(PBSOW) as government furnished property or services, provide all personnel, supervision, and any items and 

services necessary to perform food service attendant services at various locations as defined in this PBSOW. The 

contractor shall perform the requirements in this PBSOW and conform to the professional standards identified in this 

contract, and shall follow all applicable instructions and directives as identified by this PBSOW. Contractor tasks 

include, but are not limited to, the following: cleaning facilities, equipment, furniture and utensils in dining areas, 

handling equipment and maintaining quality control. The estimated essential services are listed in Technical Exhibit 

2, Workload Estimates. The contractor shall submit reports and documentation as identified throughout this 

PBSOW. Requests for such reports and documentation and responses shall be coordinated through the government 

point of contact, the Contracting Officer Representative (COR). 

2. Program Overview. The Maine Air National Guard food service operation consists of two dining facilities, one 

located in Bangor and one located in South Portland. These facilities are dedicated to providing a full luncheon meal 

and Sunday breakfast service and meeting the nutritional needs of Department of Defense (DOD) personnel who 

frequent the facilities. The Maine Air National Guard is a part time dining facility that operates two days a month 

(weekend days each month). The kitchen may also provide boxed meals for passengers and crews in support of 

flying missions and to customers requesting them in support of ground operations. 

3. Sanitation Requirements. The contractor shall comply with all federal and Air Force mandated sanitation 

requirements. AFI 48-116 Food Safety Program all chapters available at www.e-publishing.af.mil 

4. Operational Requirements and Specific Tasks. The contractor shall cleanup those areas that immediately 

affect customer service to include appearance of the dining hall. 

a. Table Cleaning Service. Clean and sanitize dining room tables, chairs, or benches at a rate sufficient to 

ensure availability to customers. Replenish dining table items (salt, pepper, napkins) so that they are available to all 

patrons without waiting.

b. Floor Cleaning. Clean floors so that no visible dirt or dust remains on floors, floor mats or runners, in 

corners, behind doors, or under furniture and equipment at the end of each meal period.

c. Spot Floor Cleaning. Spot clean floors to remove food spills and debris within 5 minutes of identifiying 

or being notified of a spill. 

 

d. Clean and sanitize dishes, pots, pans, utensils, and kitchen and dining areas in accordance with the FDA 

Food Code. They must be clean, free of food particles, film, and grease.

e. Beverage Dispensers and Ice Machine

 BANGOR FACILITY:

Carbonated beverages and water shall remain full and clean. Drains will have hot water poured 

down them daily. 

 SOUTH PORTLAND FACILITY: 

Coffee urns, cold beverage dispenser and milk dispenser shall be cleaned and polished after each 

meal.

f. Kitchen and Serving Line Exhaust Hoods (including light fixtures) Shall be thoroughly cleaned on 

Sunday at the end of serving with a grease cutting solution. 

 

g. Lavatories - BANGOR FACILITY ONLY: Clean all toilets, urinals, sinks, and floors in the two 

bathrooms in the dining hall and the two located in the kitchen. All paper towels, toilet paper, and hand soap 

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dispensers shall be adequately supplied at all times. Mops, brooms, and brushes used in cleaning of lavatories shall 

not be used for cleaning any other area. 

h. Glass Cleaning - Contractor will clean all glass doors and entrances with glass in dinning facility and 

kitchen.

i. Grease Trap Cleaning - SOUTH PORTLAND ONLY: Contractor will clean grease traps once per day 

(4 each).

 

5. Waste Management. The contractor shall assist the government by complying with the base recycling program. 

This may require segregating reusable/recyclable waste materials by type. The government shall retain ownership of 

all reusable waste materials. Non-reusable waste materials (trash and garbage) will be removed from the facility by a 

government-approved method. 

a. All HAZMAT materials brought on the base must-go through HAZMAT Pharmacy.

b. All garbage and trash cans will be removed by the contractor from the dishwashing area, the dining hall 

and other areas of the kitchen and transported to the garbage containers after each meal.

 c. Garbage and trash cans should be thoroughly cleaned and sanitized before returning to point of use and 

clean plastic trash bags shall be replaced each time.

6. Contractor Personnel. 

a. Management. The contractor shall provide a full-time contract manager on site who shall be responsible 

for the performance of the work. The name of this person, and an alternate or alternates, who shall act for the 

contractor when the manager is absent, shall be designated in writing to the contracting officer. The contract 

manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily 

operation of this contract. The contract manager or alternate shall be available at all times to meet at the 

Government facility with government personnel designated by the contracting officer to discuss problem areas. 

After normal duty hours, the manager or designated alternate shall be available within 1 hour. The contract manager 

and alternate or alternates must be able to read, write, speak, and understand English. The positions shall at no time 

be vacant. They shall comply with installation rules and regulations for motor vehicle use on the Government 

property.

7. Conduct. Contractor employees shall not loiter in any working or patron area. Upon completion of their 

assigned shifts, or after eating, employees shall promptly depart from the food service facilities.

8. Hours of Operation

a. The contractor shall maintain operating hours at the Maine Air National Guard Dining Facility as listed in 

Technical Exhibit 1. 

 

(1) Maine Air National Guard Weekends: The Bangor location performs Unit Training 

Assemblies requirements one weekend each month. The contractor will be furnished a tentative list of 

these Unit Training Assembly weekends, which is subject to change with a 24-hour notice. The contractor 

shall provide sufficient personnel at the Dining Facility to handle monthly ANG weekends. (Estimated 1 

weekend per month).

(2) The South Portland location performs Unit Training Assemblies requirements fifteen 

weekends per year. The contractor will be furnished a tentative list of these Unit Training Assembly 

weekends, which is subject to change with a 24 hour notice. The contractor shall provide sufficient 

personnel at the Dining Facility to handle monthly ANG weekends. (Estimated 8 weekends).

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9. Quality Control/Quality Assurance Program 

A. Quality Control: The Contractor is required to establish and maintain a quality control program to 

assure the requirements of the contract are provided. The program shall include as a minimum;

(1) An inspection system covering all the services to be performed under the contract.

(2)The method of identifying deficiencies in the quality of services performed before the level of 

service becomes unacceptable.

(3)Maintain a file of any corrective actions taken. This file shall be made available to the 

Government during the term of the contract.

B. Quality Assurance: The Government shall monitor the Contractors performance under this 

contract using the following procedures:

(1)The Government shall appoint a Quality Assurance Evaluator. The QAE shall inspect for 

compliance of the contract and shall record all surveillance observations. Those observations that indicate 

defective performance shall be brought to the attention of the Contractor’s attendant supervisor for 

immediate correction. The QAE shall initiate contract discrepancy reports on all uncorrected matters which 

exhibit deficient performance.

(2)When the Contractor’s performance is unsatisfactory, a Contract Discrepancy Report (CDR) 

shall be executed by the QAE and provided concurrently to the Contracting Officer and the Contractor’s 

Attendant Supervisor. The Contractor shall be required to reply in writing, giving the reasons for the 

unsatisfactory condition, the corrective actions taken or to be taken, and procedures to prevent recurrence. 

Unsatisfactory performance may result in a payment deduction.

II. SERVICE DELIVERY SUMMARY

Performance Requirement SOW para. Performance Standard

Comply with sanitation requirements of the food code 

and state and local laws/regulations, which results in a 

satisfactory or better rating in Health Inspections..

I.3., I.4., I.5. 100% of the time

Provide timely service for Operational Requirements 

and Specific Tasks.

I.4. 95% of the time

III. GOVERNMENT-FURNISHED PROPERTY AND SERVICES. The government shall make available the 

facilities, fixtures, equipment, materials and services listed here or in Technical Exhibit 4.

1. Property. 

a. Facilities. The government shall make available facilities described in Technical Exhibit 4. The 

government shall provide necessary equipment for the contractor to perform its work under the 

contract. Such equipment is identified as:

 - Garbage Disposal

 - Dish washing machine

 - Floor cleaning machine (Bangor only)

2. Supplies

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The government shall provide all cleaning supplies necessary for the contractor to perform the work required 

under the contract. Contractor is responsible to inventory supplies at the end of each service period and identify to 

the COR what needs to be replenished for the next service period.

3. Services. The government is responsible for:

a. Utilities. The government will provide gas, electricity, sewage, and water.

b. Mail Distribution. On-base only.

c. Telephone. "Class C" (on-base) telephone service.

d. Refuse Collection. Dumpsters are provided for waste.

e. Recyclable Materials Collection if applicable.

f. Security Forces and Fire Protection. 

 Phone Numbers:

 Bangor 990-7311 / 990-7235

 South Portland 799-3311

IV. GENERAL INFORMATION

1. Contractor Personnel Meals. Under the terms and conditions of the contract, the contractor is authorized to eat 

lunch prior to the designated lunch time of members of the Maine Air National Guard, but the contractor must pay 

$3.55 for each meal. Price subject to change.

2. Security Requirements. All personnel employed by the contractor in the performance of this contract, or any 

representative of the contractor entering the government installation, shall abide by all security regulations of the 

installation. The contractor shall sign an agreement stipulating the security requirements of this contract and certify 

to best of their knowledge that personnel performing under this contract do not pose a security risk to the United 

States. All personnel are subject to a security background check.

a. Base Access. The contractor shall obtain personal identification passes for all employees and vehicle 

passes for all contractor and personal vehicles requiring entry onto the base. The contractor shall provide a 

Contractor/Vendor Access List, and submit it through the Contracting Officer to the Security Forces and Pass and 

Registration. This list will be used to conduct background checks on employees of the contractor.

(1) BANGOR -- Vehicle registration, proof of insurance and a valid driver’s license must be presented for all 

vehicles to be registered. 

(2) SOUTH PORTLAND -- Contractor employees will park in the outer parking lot of building P-1 and must 

be able to show a current vehicle registration, proof of insurance, and a valid driver’s license when requested. 

Employees will enter the through the front door of building P-1, proof of identification may be requested. 

b. Physical Security. The contractor shall be responsible for safeguarding all government property provided 

for contractor use. At the end of each work shift, all government facilities, equipment, and materials shall be 

secured. 

3. Contractor Furnished Items and Services. Except for those items or services specifically stated as 

government-furnished, the contractor shall furnish everything required to perform this contract, to include: 

 a. Uniform Requirement. The uniform will consist of Shirts/Blouses and Long Pants. Tank tops, halter tops, 

shorts and other types of sleeveless tops are unauthorized and are considered a sanitation/safety issue. All contract 

individuals will wear safety shoes as footwear during the duty hours. Open-toe footwear is unauthorized. The 

contracting officer will approve the standards of dress for supervisors before the contract start date.

4. Acts Of God. The contractor shall use reasonable diligence to provide a regular and uninterrupted supply of 

service, but shall not be liable for damages, breach of contract or otherwise, to the government for failure, 

suspension, diminution, or other variations of service occasioned by or consequence of any cause beyond the control 

of the contractor, including but not limited to acts of God or of the public enemy, fires, floods, earthquakes, or other 

catastrophe; strikes or failure or breakdown of transmission or other facilities. If any such failure, suspension, 

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diminution, or other variation of service shall aggregate more than 48 hours during any billing period hereunder, an 

equitable adjustment deduction shall be made in the monthly billing specified in this contract.

Reference NGFARS 37.9 Performance of services during crisis declared by the National Command Authority 

(September 2002). Services determined to be essential for performance during crisis according to DoDI 3020.37 are 

plant operations, emergency and urgent work request, disaster preparedness, emergency operations and infrastructure 

maintenance (including construction). The services provided by this contract have been designated essential 

contractor provided services and must be continued during a crisis. The Contractor shall continue providing 

service/product to the Maine Air National Guard as required, 24 hours a day, until the crisis is over. The contractor 

shall ensure enough skilled personnel are available during a crisis for any operational emergency due to utility 

failure, damage control, and repair.

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TECHNICAL EXHIBIT 1

HOURS OF OPERATION

Bangor and South Portland Dining Facilities, Maine Air National Guard

MEAL NUMBER OF TABLES *SAT/SUN 

Lunch 21 Saturday

Breakfast 21 Sunday

Lunch 21 Sunday

BANGOR:

- One weekend per month the dining facility open at 11:00am and close at 12:30pm for the Lunch Meal. The list 

below is a tentative list of these Unit Training Assembly weekends, which is subject to change with a 24 hour 

notice. The contractor shall provide sufficient personnel at the Dining Facility to handle monthly ANG weekends. 

(Estimated 1 weekend per month).

Tentative UTA Weekend Schedule FY 07 is:

4 & 5 NOV 06 5 & 6 MAY 07

2 & 3 DEC 06 2 & 3 JUN 07

6 & 7 JAN 07 7 & 8 JUL 07

3 & 4 FEB 07 4 & 5 AUG 07

3 & 4 MAR 07 8 & 9 SEP 07

31 & 1 APR 07

Subject to change. Normally the first weekend of each month.

SOUTH PORTLAND:

- Fifteen weekends per year the dining facility open at 10:55am and close at 12:45pm for the Lunch Meal. The list 

below is a tentative list of these Unit Training Assembly weekends, which is subject to change with a 24 hour 

notice. The contractor shall provide sufficient personnel at the Dining Facility to handle monthly ANG weekends. 

(Estimated 15 weekends per year).

**Breakfast may be served 2-4 times per year, usually in March, April and either September & October, or October 

& November.

Normal duty hours for Mess Attendants will be from 7:30 am to 3:30 pm on Saturdays and Sundays.

Tentative UTA Weekend Schedule FY 07 is: 

31 MAR & 1 APR 07 (Two Units)

5 & 6 MAY 07 (Two Units)

2 & 3 JUN 07 (Two Units)

9 & 10 JUN 07 (One Unit)

14 & 15 JUL 07 (One Unit)

21 & 22 JUL 07 (One Unit)

4 & 5 AUG 07 (One Unit)

8 & 9 SEP 07 (Two Units)

Subject to change. Normally the first weekend of each month.

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TECHNICAL EXHIBIT 2

WORKLOAD ESTIMATES

MEAL ESTIMATES

Average daily meal count for meals served one weekend a month:

 

 BANGOR 

Lunch

SOUTH PORTLAND

 280-325 180

 

Breakfast 75-180 25 

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TECHNICAL EXHIBIT 3

APPLICABLE PUBLICATIONS AND FORMS

Publications and forms applicable to this Statement of Work (SOW) are listed below. The contractor has coded 

publications as mandatory (M) or advisory (A). The contractor shall follow those publications coded as mandatory 

to the extent (that is, the specific procedure in a paragraph, section, chapter or volume) specified in the SOW. The 

contractor shall be guided by those coded advisory to the extent necessary to meet requirements in this SOW. At the 

start of the contract, the Government provides all publications and forms listed. The Government may issue 

supplements or amendments to listed publications from any organizational level during the life of the contract. The 

contractor shall keep all issued publications up-to-date. The contractor shall immediately implement those changes 

in publications that result in a decrease or no change in the contract price. Before implementing any such revision, 

supplement, or amendment that will result in an increase in contract price, the contractor shall submit to the 

contracting officer (CO) a price proposal for approval. Price proposals shall be submitted within 30 calendar days 

from the date the contractor receives notice of the revision, supplement, or amendment giving rise to the increase in 

cost of performance. The Government will consider changes in the contract price due to supplements and 

amendments shall be considered under the "Contract Terms and Conditions-Commercial Items" clause. The 

Government will continue to supply the Government forms needed for daily operations. Upon completion of the 

contract, the contractor shall return to the Government all issued publications and unused forms.

Publications Code: 

AFI--Air Force Instruction

AFMAN--Air Force Manual.

AFP--Air Force Pamphlet.

AF Form--Air Force Form.

DD Form--Department of Defense Form.

DEPARTMENT OF DEFENSE and AIR FORCE PUBLICATIONS: 

Number Title of Directive Mandatory (M)

 or Advisory (A)

DoD 5500.7-R 8/30/93 Ethics Standards A 

Change 1 11/2/94

AFI 48-116 7/19/94 Food Safety Program M 

OTHER DIRECTIVES: DOL – Service Contract Act applies – prevailing wages 

 

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TECHNICAL EXHIBIT 4

GOVERNMENT FACILITIES

The Government will make available to the contractor the following facility in which contractors work is 

performed:

 

LOCATION USE/DESCRIPTION

101st Services Flight

APPROX.SQ FT

107 Pesch Circle Suite 417, Bangor, ME 04401 Dining Facility 8,237

South Portland ANG Station

50 Western Avenue, South Portland, ME 04106 Dining Facility 2,520

 

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TECHNICAL EXHIBIT 5

DEFINITIONS

Director of Military Public Health (MPH). The installation medical authority who defines and monitors sanitation 

standards and procedures for food service activities. Representatives of the MPH inspect sanitary conditions and 

apply ratings based upon their professional qualitative judgment.

Equipment. Items used to store, prepare, cook, transport, and serve food. Equipment also includes items used in 

cleaning and sanitizing, as well as those used to transport and store supplies.

Food Service Manager (FSM). An officer, noncommissioned officer, or civilian responsible to the base Chief of 

Services for matters relating to food service. Advises the contracting officer on matters relating to the contract.

Subsistence. Food items, including beverages and condiments. 

Subsistence-in-Kind (SIK). Food furnished to enlisted personnel at Government expense, instead of a monetary 

allowance.

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months $1,712.90 $20,554.80 

Bangor Dining Hall Attendants

FFP

BASE YEAR

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities 

and transportation necessary to perform the services listed below.

Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 1) and 

the Service Contract Act apply.

FOB: Destination

NSN: S203-VS-227-0100

MILSTRIP: F7QVSV62270100

PURCHASE REQUEST NUMBER: F7QVSV62270100

SIGNAL CODE: A

NET AMT $20,554.80

ACRN AA

CIN: F7QVSV622701000001

$20,554.80

 

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 12 Months $1,712.90 $20,554.80 

OPTION Bangor Dining Hall Attendants

FFP

OPTION YEAR 1

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities 

and transportation necessary to perform the services listed below.

Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 1) and 

the Service Contract Act apply.

FOB: Destination

NSN: S203-VS-227-0100

MILSTRIP: F7QVSV62270100

SIGNAL CODE: A

 

NET AMT $20,554.80

 

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 12 Months $1,712.90 $20,554.80 

OPTION Bangor Dining Hall Attendants

FFP

OPTION YEAR 2

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities 

and transportation necessary to perform the services listed below.

Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 1) and 

the Service Contract Act apply.

FOB: Destination

NSN: S203-VS-227-0100

MILSTRIP: F7QVSV62270100

SIGNAL CODE: A

NET AMT $20,554.80

 

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0004 12 Months $1,712.90 $20,554.80 

OPTION Bangor Dining Hall Attendants

FFP

OPTION YEAR 3

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities 

and transportation necessary to perform the services listed below.

Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 1) and 

the Service Contract Act apply.

FOB: Destination

NSN: S203-VS-227-0100

MILSTRIP: F7QVSV62270100

SIGNAL CODE: A

 

NET AMT $20,554.80

 

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0005 12 Months $1,712.90 $20,554.80 

OPTION Bangor Dining Hall Attendants

FFP

OPTION YEAR 4

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities 

and transportation necessary to perform the services listed below.

Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 1) and 

the Service Contract Act apply.

FOB: Destination

NSN: S203-VS-227-0100

MILSTRIP: F7QVSV62270100

SIGNAL CODE: A

NET AMT $20,554.80

 

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ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0006 8 Job $545.71 $4,365.68 

South Portland Dining Hall Attendants

FFP

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities 

and transportation necessary to perform the services listed below.

Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 1) and 

the Service Contract Act apply.

FOB: Destination

NSN: S203-CC-195-0001

MILSTRIP: F7QBCC61950001

PURCHASE REQUEST NUMBER: F7QBCC61950001

SIGNAL CODE: A

 

NET AMT $4,365.68

ACRN AB

CIN: F7QBCC619500010001

$4,365.68

 

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY 

0001 Destination Government Destination Government 

0002 Destination Government Destination Government 

0003 Destination Government Destination Government 

0004 Destination Government Destination Government 

0005 Destination Government Destination Government 

0006 Destination Government Destination Government 

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC 

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0001 POP 31-MAR-2007 TO

31-MAR-2008 

N/A 101 ARW/SV

DOUGLAS WESTMAN, SSGT

SERVICES - F7QVSV

107 PESCH CIRCLE

SUITE 417

BANGOR ME 04401-8026

207-990-7262

FOB: Destination 

F7QVSV 

0002 POP 01-APR-2008 TO

31-MAR-2009 

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination 

F7QVSV 

0003 POP 01-APR-2009 TO

31-MAR-2010 

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination 

F7QVSV 

0004 POP 01-APR-2010 TO

31-MAR-2011 

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination 

F7QVSV 

0005 POP 01-APR-2011 TO

01-MAR-2012 

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination 

F7QVSV 

0006 POP 31-MAR-2007 TO

30-SEP-2007 

N/A 101 ARW/CB

PATTY GILMAN

265TH - F7QBCC

50 WESTERN AVENUE

SOUTH PORTLAND ME 04106-3499

207 756 7927

FOB: Destination 

F7QBCC 

ACCOUNTING AND APPROPRIATION DATA

AA: 5773840 587 41D7 244600 01 59210 667100 

AMOUNT: $20,554.80 

CIN F7QVSV622701000001: $20,554.80 

AB: 5773840 587 41D7 421010 01 59210 667100 

AMOUNT: $4,365.68 

CIN F7QBCC619500010001: $4,365.68 

 

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CLAUSES INCORPORATED BY REFERENCE

52.203-6 Alt I Restrictions On Subcontractor Sales To The Government (Jul 

1995) -- Alternate I 

OCT 1995 

52.203-8 Cancellation, Rescission, and Recovery of Funds for Illegal or 

Improper Activity 

JAN 1997 

52.204-4 Printed or Copied Double-Sided on Recycled Paper AUG 2000 

52.212-4 Contract Terms and Conditions--Commercial Items SEP 2005 

52.219-4 Notice of Price Evaluation Preference for HUBZone Small 

Business Concerns 

JUL 2005 

52.219-8 Utilization of Small Business Concerns MAY 2004 

52.222-43 Fair Labor Standards Act And Service Contract Act - Price 

Adjustment (Multiple Year And Option) 

MAY 1989 

52.223-5 Pollution Prevention and Right-to-Know Information AUG 2003 

52.228-5 Insurance - Work On A Government Installation JAN 1997 

52.232-1 Payments APR 1984 

52.232-7 Payments Under Time-And-Materials And Labor Hour 

Contracts 

AUG 2005 

52.233-3 Protest After Award AUG 1996 

52.237-2 Protection Of Government Buildings, Equipment, And 

Vegetation 

APR 1984 

52.237-3 Continuity Of Services JAN 1991 

52.242-15 Stop-Work Order AUG 1989 

52.243-3 Changes--Time-And-Material Or Labor-Hours SEP 2000 

52.246-4 Inspection Of Services--Fixed Price AUG 1996 

52.246-6 Inspection--Time-And-Material And Labor-Hour MAY 2001 

252.204-7000 Disclosure Of Information DEC 1991 

252.204-7003 Control Of Government Personnel Work Product APR 1992 

252.223-7006 Prohibition On Storage And Disposal Of Toxic And 

Hazardous Materials 

APR 1993 

252.243-7002 Requests for Equitable Adjustment MAR 1998 

252.246-7000 Material Inspection And Receiving Report MAR 2003 

 

CLAUSES INCORPORATED BY FULL TEXT

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR 

EXECUTIVE ORDERS--COMMERCIAL ITEMS ( 2006) 

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are 

incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to 

acquisitions of commercial items:

(1) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(2) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Pub. L. 108-77, 108-78).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated 

as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to 

acquisitions of commercial items: (Contracting Officer check as appropriate.)

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_X__ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (JUL 1995), with Alternate I (OCT 

1995) (41 U.S.C. 253g and 10 U.S.C. 2402). 

___ (2) 52.219-3, Notice of HUBZone Small Business Set-Aside (Jan 1999) (15 U.S.C. 657a). 

___ (3) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (JUL 2005) (if the 

offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a). 

___(4) [Removed]. 

_X__ (5)(i) 52.219-6, Notice of Total Small Business Set-Aside (JUNE 2003) (15 U.S.C. 644). 

___ (ii) Alternate I (OCT 1995) of 52.219-6. 

___ (iii) Alternate II (MAR 2004) of 52.219-6. 

___ (6)(i) 52.219-7, Notice of Partial Small Business Set-Aside (JUNE 2003) (15 U.S.C. 644). 

___ (ii) Alternate I (OCT 1995) of 52.219-7. 

___ (iii) Alternate II (MAR 2004) of 52.219-7. 

_X__ (7) 52.219-8, Utilization of Small Business Concerns (MAY 2004) (15 U.S.C. 637 (d)(2) and (3)). 

___ (8)(i) 52.219-9, Small Business Subcontracting Plan (JUL 2005) (15 U.S.C. 637(d)(4)). 

___ (ii) Alternate I (OCT 2001) of 52.219-9 

___(iii) Alternate II (OCT 2001) of 52.219-9. 

_X__ (9) 52.219-14, Limitations on Subcontracting (DEC 1996) (15 U.S.C. 637(a)(14)). 

___ (10)(i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns (SEP 

2005) (10 U.S.C. 2323) (if the offeror elects to waive the adjustment, it shall so indicate in its offer). 

___ (ii) Alternate I (JUNE 2003) of 52.219-23. 

___ (11) 52.219-25, Small Disadvantaged Business Participation Program--Disadvantaged Status and Reporting 

(OCT 1999) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323). 

___ (12) 52.219-26, Small Disadvantaged Business Participation Program--Incentive Subcontracting (OCT 2000) 

(Pub. L. 103-355, section 7102, and 10 U.S.C. 2323). 

___ (13) 52.219-27, Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (May 2004). 

_X__ (14) 52.222-3, Convict Labor (JUNE 2003) (E.O. 11755). 

_X__ (15) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (JAN 2006) (E.O. 13126). 

_X__ (16) 52.222-21, Prohibition of Segregated Facilities (FEB 1999). 

_X__ (17) 52.222-26, Equal Opportunity (APR 2002) (E.O. 11246). 

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_X__ (18) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other 

Eligible Veterans (DEC 2001) (38 U.S.C. 4212). 

_X__ (19) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29 U.S.C. 793). 

_X__ (20) 52.222-37, Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and Other 

Eligible Veterans (DEC 2001) (38 U.S.C. 4212). 

_X__ (21) 52.222-39, Notification of Employee Rights Concerning Payment of Union Dues or Fees (DEC 2004) 

(E.O. 13201). 

___ (22)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (AUG 

2000) (42 U.S.C. 6962(c)(3)(A)(ii)). 

___ (ii) Alternate I (AUG 2000) of 52.223-9 (42 U.S.C. 6962(i)(2)(c)). 

___ (23) 52.225-1, Buy American Act--Supplies (JUNE 2003) (41 U.S.C. 10a-10d). 

___ (24)(i) 52.225-3, Buy American Act--Free Trade Agreements--Israeli Trade Act (JUN 2006) (41 U.S.C. 10a10d, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, Pub. L. 108-77, 108-78, 108-286 and 109-53). 

___ (ii) Alternate I (JAN 2004) of 52.225-3. 

___ (iii) Alternate II (JAN 2004) of 52.225-3. 

___ (25) 52.225-5, Trade Agreements (JUN 2006) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note). 

_X__ (26) 52.225-13, Restrictions on Certain Foreign Purchases (FEB 2006) (E.O.s, proclamations, and statutes 

administered by the Office of Foreign Assets Control of the Department of Treasury). 

___ (27) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (42 U.S.C. 5150). 

___ (28) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (42 U.S.C. 5150). 

___ (29) 52.232-29, Terms for Financing of Purchases of Commercial Items (FEB 2002) (41 U.S.C. 255(f), 10 

U.S.C. 2307(f)). 

____ (30) 52.232-30, Installment Payments for Commercial Items (OCT 1995) (41 U.S.C. 255(f), 10 U.S.C. 

2307(f)). 

_X___ (31) 52.232-33, Payment by Electronic Funds Transfer--Central Contractor Registration (OCT 2003) (31 

U.S.C. 3332). 

____ (32) 52.232-34, Payment by Electronic Funds Transfer--Other than Central Contractor Registration (MAY 

1999) (31 U.S.C. 3332). 

____ (33) 52.232-36, Payment by Third Party (MAY 1999) (31 U.S.C. 3332). 

____ (34) 52.239-1, Privacy or Security Safeguards (AUG 1996) (5 U.S.C. 552a). 

____ (35)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. 

Appx 1241(b) and 10 U.S.C. 2631). 

____ (ii) Alternate I (APR 2003) of 52.247-64. 

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(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that 

the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of 

law or Executive orders applicable to acquisitions of commercial items: [Contracting Officer check as appropriate.]

_X___ (1) 52.222-41, Service Contract Act of 1965, as Amended (JUL 2005) (41 U.S.C. 351, et seq.). 

____ (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 1989) (29 U.S.C. 206 and 41 U.S.C. 

351, et seq.). 

_X___ (3) 52.222-43, Fair Labor Standards Act and Service Contract Act--Price Adjustment (Multiple Year and 

Option Contracts) (MAY 1989) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.). 

_X___ (4) 52.222-44, Fair Labor Standards Act and Service Contract Act--Price Adjustment (February 2002) (29 

U.S.C. 206 and 41 U.S.C. 351, et seq.). 

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph 

(d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and 

does not contain the clause at 52.215-2, Audit and Records--Negotiation. 

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall 

have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to 

this contract. 

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other 

evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any 

shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If 

this contract is completely or partially terminated, the records relating to the work terminated shall be made available 

for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to 

litigation or the settlement of claims arising under or relating to this contract shall be made available until such 

appeals, litigation, or claims are finally resolved. 

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, 

regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that 

the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law. 

(e) (1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the 

Contractor is not required to flow down any FAR clause, other than those in paragraphs (i) through (vi) of this 

paragraph in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall 

be as required by the clause--

(i) 52.219-8, Utilization of Small Business Concerns (May 2004) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts 

that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) 

exceeds $500,000 ($1,000,000 for construction of any public facility), the subcontractor must include 52.219-8 in 

lower tier subcontracts that offer subcontracting opportunities.

(ii) 52.222-26, Equal Opportunity (April 2002) (E.O. 11246).

(iii) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible 

Veterans (December 2001) (38 U.S.C. 4212).

(iv) 52.222-36, Affirmative Action for Workers with Disabilities (June 1998) (29 U.S.C. 793).

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(v) 52.222-39, Notification of Employee Rights Concerning Payment of Union Dues or Fees (DEC 2004) (E.O. 

13201).

(vi) 52.222-41, Service Contract Act of 1965, as Amended (Jul 2005), flow down required for all subcontracts 

subject to the Service Contract Act of 1965 (41 U.S.C. 351, et seq.).

(vii) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx 

1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor May include in its subcontracts for commercial items a minimal number of 

additional clauses necessary to satisfy its contractual obligations.

(End of clause)

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the 

contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary 

of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder 

shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor 

within 30 days prior to the end of the performance period.

(End of clause)

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30days (insert 

the period of time within which the Contracting Officer may exercise the option); provided that the Government 

gives the Contractor a preliminary written notice of its intent to extend at least 60 days (60 days unless a different 

number of days is inserted) before the contract expires. The preliminary notice does not commit the Government to 

an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 

years

(End of clause)

. 

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52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989)

In compliance with the Service Contract Act of 1965, as amended, and the regulations of the Secretary of Labor (29 

CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and 

states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the 

provisions of 5 U.S.C. 5341 or 5332. 

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION 

Employee Class Monetary Wage-Fringe Benefits

07130 $8.84 per hour $3.01 per hour

(End of clause)

52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

Funds are not presently available for performance under this contract beyond 31 MAR 2008 . The Government's 

obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds 

from which payment for contract purposes can be made. No legal liability on the part of the Government for any 

payment may arise for performance under this contract beyond 31 MAR 2008, until funds are made available to the 

Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in 

writing by the Contracting Officer.

(End of clause)

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) 

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in 

full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may 

be accessed electronically at this/these address(es):

http://farsite.hill.af.mil 

(End of clause)

252.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR 

EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL ITEMS (JUL 2006)

(a) The Contractor agrees to comply with the following Federal Acquisition Regulation (FAR) clause which, if 

checked, is included in this contract by reference to implement a provision of law applicable to acquisitions of 

commercial items or components.

_X__ 52.203-3, Gratuities (APR 1984) (10 U.S.C. 2207). 

(b) The Contractor agrees to comply with any clause that is checked on the following list of Defense FAR 

Supplement clauses which, if checked, is included in this contract by reference to implement provisions of law or 

Executive orders applicable to acquisitions of commercial items or components.

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(1) ___ 252.205-7000, Provision of Information to Cooperative Agreement Holders (DEC 1991) (10 U.S.C. 

2416). 

(2) ___ 252.219-7003, Small, Small Disadvantaged and Women-Owned Small Business Subcontracting Plan (DoD 

Contracts) (APR 1996) (15 U.S.C. 637). 

(3) ___ 252.219-7004, Small, Small Disadvantaged and Women-Owned Small Business Subcontracting Plan (Test 

Program) (JUN 1997) (15 U.S.C. 637 note). 

(4) ___ 252.225-7001, Buy American Act and Balance of Payments Program (JUN 2005) (41 U.S.C. 10a-10d, E.O. 

10582). 

(5) _X__ 252.225-7012, Preference for Certain Domestic Commodities (JUN 2004) (10 U.S.C. 2533a). 

(6) ___ 252.225-7014, Preference for Domestic Specialty Metals (JUN 2005) (10 U.S.C. 2533a). 

(7) ___ 252.225-7015, Restriction on Acquisition of Hand or Measuring Tools (JUN 2005) (10 U.S.C. 

2533a). 

(8) ___ 252.225-7016, Restriction on Acquisition of Ball and Roller Bearings (MAR 2006) (Section 8065 of Public 

Law 107-117 and the same restriction in subsequent DoD appropriations acts). 

(9) ___ 252.225-7021, Trade Agreements (JUN 2006) (19 U.S.C. 2501-2518 and 19 U.S.C. 3301 note). 

(10) ___ 252.225-7027, Restriction on Contingent Fees for Foreign Military Sales (APR 2003) (22 U.S.C. 

2779). 

(11) ___ 252.225-7028, Exclusionary Policies and Practices of Foreign Governments (APR 2003) (22 U.S.C. 

2755). 

(12)(i) _X__ 252.225-7036, Buy American Act--Free Trade Agreements--Balance of Payments Program (JUN 

2006) (41 U.S.C. 10a-10d and 19 U.S.C. 3301 note). 

(ii) ___ Alternate I (JAN 2005) of 252.225-7036. 

(13) ___ 252.225-7038, Restriction on Acquisition of Air Circuit Breakers (JUN 2005) (10 U.S.C. 

2534(a)(3)). 

(14) ___ 252.226-7001, Utilization of Indian Organizations, Indian-Owned Economic Enterprises, and Native 

Hawaiian Small Business Concerns (SEP 2004) (Section 8021 of Pub. L. 107-248 and similar sections in subsequent 

DoD appropriations acts). 

(15) ___ 252.227-7015, Technical Data--Commercial Items (NOV 1995) (10 U.S.C. 2320). 

(16) ___ 252.227-7037, Validation of Restrictive Markings on Technical Data (SEP 1999) (10 U.S.C. 2321). 

(17) ___ 252.232-7003, Electronic Submission of Payment Requests (MAY 2006) (10 U.S.C. 2227). 

(18) ___ 252.237-7019, Training for Contractor Personnel Interacting with Detainees (SEP 2005) (Section 1092 of 

Public Law 108-375). 

(19) _X__ 252.243-7002, Requests for Equitable Adjustment (MAR 1998) (10 U.S.C. 2410). 

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(20)(i) ___ 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631). 

(ii) ___ Alternate I (MAR 2000) of 252.247-7023. 

(iii) ___ Alternate II (MAR 2000) of 252.247-7023. 

(iv) ___ Alternate III (MAY 2002) of 252.247-7023. 

(21) ___ 252.247-7024, Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631). 

(c) In addition to the clauses listed in paragraph (e) of the Contract Terms and Conditions Required to Implement 

Statutes or Executive Orders--Commercial Items clause of this contract (FAR 52.212-5), the Contractor shall include 

the terms of the following clauses, if applicable, in subcontracts for commercial items or commercial components, 

awarded at any tier under this contract:

(1) 252.225-7014, Preference for Domestic Specialty Metals, Alternate I (APR 2003) (10 U.S.C. 2533a).

(2) 252.237-7019, Training for Contractor Personnel Interacting with Detainees (SEP 2005) (Section 1092 of Public 

Law 108-375).

(3) 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).

(4) 252.247-7024, Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631).

(End of clause)

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (MAY 2006) 

(a) Definitions. As used in this clause--

(1) Contract financing payment and invoice payment have the meanings given in section 32.001 of the Federal 

Acquisition Regulation.

(2) Electronic form means any automated system that transmits information electronically from the initiating system 

to all affected systems. Facsimile, e-mail, and scanned documents are not acceptable electronic forms for submission 

of payment requests. However, scanned documents are acceptable when they are part of a submission of a payment 

request made using one of the electronic forms provided for in paragraph (b) of this clause.

(3) Payment request means any request for contract financing payment or invoice payment submitted by the 

Contractor under this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests using one of the 

following electronic forms:

(1) Wide Area WorkFlow-Receipt and Acceptance (WAWF-RA). Information regarding WAWF-RA is available on 

the Internet at https://wawf.eb mil.

(2) Web Invoicing System (WInS). Information regarding WInS is available on the Internet at https://ecweb.dfas.mil.

(3) American National Standards Institute (ANSI) X.12 electronic data interchange (EDI) formats.

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(i) Information regarding EDI formats is available on the Internet at http://www.X12.org.

(ii) EDI implementation guides are available on the Internet at http://www.dod mil/dfas/. 

(4) Another electronic form authorized by the Contracting Officer.

(c) If the Contractor is unable to submit a payment request in electronic form, or DoD is unable to receive a payment 

request in electronic form, the Contractor shall submit the payment request using a method mutually agreed to by the 

Contractor, the Contracting Officer, the contract administration office, and the payment office.

(d) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate 

payment clauses in this contract when submitting payments requests.

(End of clause)

*******************Notice to Offerors*********************

Payment Request

In accordance with Defense Federal Acquisition Regulation Supplement (DFARS) subpart 232.70, all payment 

requests must be made electronically. See clause 252.232-7003, ELECTRONIC SUBMISSION OF PAYMENT 

REQUESTS, for information on acceptable means to submit payment request. For free assistance on this matter, 

contact your local Procurement Technical Assistance Center (PTAC), which can be found at 

http://www.dla.mil/db/procurem htm.

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101 MSG/MSC BASE CONTRACT NG

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

EXCEPTION TO SF 30 30-105-04

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

1. Exercise Option Year 1. Incorporate Wage Determination 2005-2241 Rev 6 into CLIN 0002.

2. All other Terms and Conditions remain unchanged.

1 CONTRACT ID CODE PAGE OF PAGES

J 1 3

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 01-Apr-2008

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of person authorized to sign) (Signature of Contracting Officer)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code)

9B. DATED (SEE ITEM 11)

X W912JD-07-C-2000

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

13-Mar-2007

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)

See Schedule

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

X

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 FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

FAR 52.212-4

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter

 where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

P00001

2 AMENDMENT/MODIFICATION NO 5 PROJECT NO (If applicable)

6 ISSUED BY

3 EFFECTIVE DATE

01-Apr-2008

CODE

101 MSG/MSC BASE CONTRACT NG

W912JD

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

W912JD 7 ADMINISTERED BY (If other than item 6)

4 REQUISITION/PURCHASE REQ NO

CODE FA6181

SERVICE CARE OF AMERICA, NC

JIM LONG

2050 MARCONI DRIVE

SUITE 300

ALPHARETTA GA 30005-7451

CODE 0A6L9 FACILITY CODE

TEL: 207 990 7419 EMA L:

/ BASE CONTRACT NG OFFICER

 Modification Control Number: nottp170876

(b) (6) (b) (6)

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P00001 

Page 2 of 3 

SECTION SF 30 BLOCK 14 CONTINUATION PAGE 

 

SUMMARY OF CHANGES 

SECTION SF 1449 - CONTINUATION SHEET 

SOLICITATION/CONTRACT FORM 

 

 The total cost of this contract was increased by $20,554.80 from $24,920.48 to $45,475.28. 

 The 'issued by' organization has changed from 

 101 MSG/MSC BASE CONTRACTING 

 W912JD 

 101 GLEN AVENUE 

 SUITE 493 

 BANGOR ME 04401-8013 

 to 

 101 MSG/MSC BASE CONTRACTING 

 W912JD 

 105 MAINEIAC AVENUE, SUITE 510 

 BANGOR ME 04401-8010 

 

 The 'administered by' organization has changed from 

 101 MSG/MSC BASE CONTRACTING 

 

 101 GLEN AVENUE 

 SUITE 493 

 BANGOR ME 04401-8013 

 to 

 101 MSG/MSC BASE CONTRACTING 

 TREENA S NADEAU 

 105 MAINEIAC AVENUE, SUITE 510 

 BANGOR ME 04401-8010 

 

SUPPLIES OR SERVICES AND PRICES 

 CLIN 0002 

 The CLIN extended description has changed from 

OPTION YEAR 1 

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities and transportation necessary to 

perform the services listed below.Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 1) and the Service Contract Act apply. 

to 

OPTION YEAR 1 

Services, Non-Personal: Contractor to furnish all labor, parts, materials, facilities and transportation necessary to 

perform the services listed below.Provide Dining Hall Attendant services for drill weekends in accordance with the 

attached Performance Work Statement. Wage Determination 05-2241 (REV 6) and the Service Contract Act apply.. 

 The option status has changed from Option to Option Exercised. 

 The MILSTRIP F7QVSV62270100 has been deleted. 

(b) (6)

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 39 of 50

Record Posted to NGB Reading Room 

13 June 14
W912JD-07-C-2000 

P00001 

Page 3 of 3 

ACCOUNTING AND APPROPRIATION 

Summary for the Payment Office 

 

 As a result of this modification, the total funded amount for this document was increased by $20,554.80 from 

$24,920.48 to $45,475.28. 

 

CLIN 0002: 

 

 AC: 5783840 588 41D7 374520 010000 59210 55296F 667100 F67100 (CIN F7QFFM8091A0010000AA) 

was increased by $20,554.80 from $0.00 to $20,554.80 

 The contract ACRN AC has been added. 

 The CIN F7QFFM8091A0010000AA has been added. 

TABLE OF CONTENTS 

 

The below Table of Contents has been added 

 

 Exhibit/Attachment Table of Contents 

DOCUMENT TYPE DESCRIPTION PAGES DATE 

Attachment 1 Wage Determination 

2005-2241 - R6 

10 18-MAR-2008 

 

The following have been deleted: 

 SCA WAGE DETERMINATION 

(End of Summary of Changes) 

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 40 of 50

Record Posted to NGB Reading Room 

13 June 14
101 MSG/MSC BASE CONTRACT NG

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

EXCEPTION TO SF 30 30-105-04

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

1. Increase unit price to offset increase to revised w age determination. See Summary of Changes.

2. All other Terms and Conditions remain unchanged.

1 CONTRACT ID CODE PAGE OF PAGES

J 1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

26-Jun-2008

15B. CONTRACTOR/OFFEROR 15C. DATE SIGN

(Signature of person authorized to sign) (Signature of Contracting Officer)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code)

9B. DATED (SEE ITEM 11)

X W912JD-07-C-2000

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

13-Mar-2007

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)

See Schedule

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

X

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 FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

FAR 52.222-43

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter

 where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

P00002

2 AMENDMENT/MODIFICATION NO 5 PROJECT NO (If applicable)

6 ISSUED BY

3 EFFECTIVE DATE

10-Apr-2008

CODE

101 MSG/MSC BASE CONTRACT NG

W912JD

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

W912JD 7 ADMINISTERED BY (If other than item 6)

4 REQUISITION/PURCHASE REQ NO

CODE FA6181

SERVICE CARE OF AMERICA, NC

JIM LONG

2050 MARCONI DRIVE

SUITE 300

ALPHARETTA GA 30005-7451

CODE 0A6L9 FACILITY CODE

TEL: 207 990 7419 EMA L:

/ BASE CONTRACT NG OFFICER

 Modification Control Number: nottp1708103

(b) (6) (b) (6) (b) (6) (b) (6)

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 41 of 50

Record Posted to NGB Reading Room 

13 June 14
W912JD-07-C-2000 

P00002 

Page 2 of 2 

SECTION SF 30 BLOCK 14 CONTINUATION PAGE 

 

SUMMARY OF CHANGES 

SECTION SF 1449 - CONTINUATION SHEET 

SOLICITATION/CONTRACT FORM 

 

 The total cost of this contract was increased by $871.32 from $45,475.28 to $46,346.60. 

SUPPLIES OR SERVICES AND PRICES 

 CLIN 0002 

 The unit price amount has increased by $72.61 from $1,712.90 to $1,785.51. 

 The total cost of this line item has increased by $871.32 from $20,554.80 to $21,426.12. 

ACCOUNTING AND APPROPRIATION 

Summary for the Payment Office 

 

 As a result of this modification, the total funded amount for this document was increased by $871.32 from 

$45,475.28 to $46,346.60. 

 

CLIN 0002: 

 

 AC: 5783840 588 41D7 374520 010000 59210 55296F 667100 F67100 (CIN F7QFFM8091A0010000AA) 

was increased by $871.32 from $20,554.80 to $21,426.12 

(End of Summary of Changes) 

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 42 of 50

Record Posted to NGB Reading Room 

13 June 14
101 MSG/MSC BASE CONTRACT NG

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

EXCEPTION TO SF 30 30-105-04

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

--The purpose of this modification is to exercise Option Year 2.

--Performance Period for this exercised option is 1 APRIL 2009 THROUGH 31 MARCH 2010.

--Wage Determination 05-2241 (Rev 7), dated 29 May 2009 applies to this order, has been incorporated, and is attached.

--ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED

1 CONTRACT ID CODE PAGE OF PAGES

J 1 3

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 01-Apr-2009

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of person authorized to sign) (Signature of Contracting Officer)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code)

9B. DATED (SEE ITEM 11)

X W912JD-07-C-2000

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

13-Mar-2007

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)

See Schedule

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

X

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 FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

FAR 52-212-4(c)

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter

 where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

P00003

2 AMENDMENT/MODIFICATION NO 5 PROJECT NO (If applicable)

6 ISSUED BY

3 EFFECTIVE DATE

31-Mar-2009

CODE

101 MSG/MSC BASE CONTRACT NG

W912JD

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

W912JD 7 ADMINISTERED BY (If other than item 6)

4 REQUISITION/PURCHASE REQ NO

CODE FA6181

SERVICE CARE OF AMERICA INC

JIM LONG

2050 MARCONI DR STE 300

ALPHARETTA GA 30005-2077

CODE 0A6L9 FACILITY CODE

TEL: 207 430-5598 EMA L:

/ CONTRACT NG OFFICER

 Modification Control Number: nadea170987

(b) (6) (b) (6) (b) (6) (b) (6)

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 43 of 50

Record Posted to NGB Reading Room 

13 June 14
W912JD-07-C-2000 

P00003 

Page 2 of 3 

SECTION SF 30 BLOCK 14 CONTINUATION PAGE 

 

SUMMARY OF CHANGES 

SECTION SF 1449 - CONTINUATION SHEET 

SOLICITATION/CONTRACT FORM 

 

 The total cost of this contract was increased by $21,536.76 from $46,346.60 to $67,883.36. 

SUPPLIES OR SERVICES AND PRICES 

 CLIN 0001 

 The MILSTRIP F7QVSV62270100 has been deleted. 

 CLIN 0003 

 The unit price amount has increased by $81.83 from $1,712.90 to $1,794.73. 

 The option status has changed from Option to Option Exercised. 

 The MILSTRIP F7QVSV62270100 has been deleted. 

 The total cost of this line item has increased by $981.96 from $20,554.80 to $21,536.76. 

 CLIN 0004 

 The MILSTRIP F7QVSV62270100 has been deleted. 

 CLIN 0005 

 The MILSTRIP F7QVSV62270100 has been deleted. 

 CLIN 0006 

 The MILSTRIP F7QBCC61950001 has been deleted. 

ACCOUNTING AND APPROPRIATION 

Summary for the Payment Office 

 

 As a result of this modification, the total funded amount for this document was increased by $21,536.76 from 

$46,346.60 to $67,883.36. 

 

CLIN 0003: 

 

 AD: 5793840 589 41D7 374520 010000 59210 59297F 667100 F67100 (CIN F7QFFM9090A001000AA) 

was increased by $21,536.76 from $0.00 to $21,536.76 

 The contract ACRN AD has been added. 

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 44 of 50

Record Posted to NGB Reading Room 

13 June 14
W912JD-07-C-2000 

P00003 

Page 3 of 3 

 The CIN F7QFFM9090A001000AA has been added. 

The following have been modified: 

 

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989) 

In compliance with the Service Contract Act of 1965, as amended, and the regulations of the Secretary of Labor (29 

CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and 

states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the 

provisions of 5 U.S.C. 5341 or 5332. 

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION 

Employee Class Monetary Wage-Fringe Benefits 

07130 $9.32 per hour $3.24 per hour

(End of clause) 

 

 

52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984) 

Funds are not presently available for performance under this contract beyond 31 MAR 2010 . The Government's 

obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds 

from which payment for contract purposes can be made. No legal liability on the part of the Government for any 

payment may arise for performance under this contract beyond 31 MAR 2010, until funds are made available to the 

Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in 

writing by the Contracting Officer. 

(End of clause) 

 

(End of Summary of Changes) 

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 45 of 50

Record Posted to NGB Reading Room 

13 June 14
101 MSG/MSC BASE CONTRACT NG

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

EXCEPTION TO SF 30 30-105-04

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this modification is to:

1) Exercise option year 3 and;

2) To increase the monthly fee in accordance w ith the current Service Contract DOL Wage Determination (05-2241 Rev-9)

1 CONTRACT ID CODE PAGE OF PAGES

J 1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 10-Mar-2010

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of person authorized to sign) (Signature of Contracting Officer)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code)

9B. DATED (SEE ITEM 11)

X W912JD-07-C-2000

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

13-Mar-2007

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)

See Schedule

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

X

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 FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

FAR 52.212-4(c)

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter

 where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

P00004

2 AMENDMENT/MODIFICATION NO 5 PROJECT NO (If applicable)

6 ISSUED BY

3 EFFECTIVE DATE

09-Mar-2010

CODE

101 MSG/MSC BASE CONTRACT NG

W912JD

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

W912JD 7 ADMINISTERED BY (If other than item 6)

4 REQUISITION/PURCHASE REQ NO

CODE FA6181

SERVICE CARE OF AMERICA INC

JIM LONG

2050 MARCONI DR STE 300

ALPHARETTA GA 30005-2077

CODE 0A6L9 FACILITY CODE

TEL: 207 990 7419 EMA L:

/ CONTRACT NG OFFICER

 Modification Control Number: edw arj171073

(b) (6) (b) (6) (b) (6) (b) (6)

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 46 of 50

Record Posted to NGB Reading Room 

13 June 14
W912JD-07-C-2000 

P00004 

Page 2 of 2 

SECTION SF 30 BLOCK 14 CONTINUATION PAGE 

 

SUMMARY OF CHANGES 

SECTION SF 1449 - CONTINUATION SHEET 

SUPPLIES OR SERVICES AND PRICES 

 CLIN 0004 

 The unit price amount has increased by $151.22 from $1,712.90 to $1,864.12. 

 The total cost of this line item has increased by $1,814.64 from $20,554.80 to $22,369.44. 

ACCOUNTING AND APPROPRIATION 

Summary for the Payment Office 

 

CLIN 0004: 

 

 AE: 5703840 580 41D7 374100 01 61900 51411F 667100 (CIN F7QVSV0004A001000AA) was increased by 

$22,369.44 from $0.00 to $22,369.44 

 The contract ACRN AE has been added. 

 The CIN F7QVSV0004A001000AA has been added. 

(End of Summary of Changes) 

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 47 of 50

Record Posted to NGB Reading Room 

13 June 14
101 MSG/MSC BASE CONTRACT NG

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

EXCEPTION TO SF 30 30-105-04

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this modification is to exercise Option Year 4 of the contract.

-This modifcation incorporates a price increase due to a change in the Wage Determination that increases the Health & Welfare Benefit.

-Wage Determination 05-2241 (Rev 11), dated 22 June 2010 applies to this order, and is incorporated.

-All other terms and conditions remain unchanged.

1 CONTRACT ID CODE PAGE OF PAGES

J 1 3

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 24-Mar-2011

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of person authorized to sign) (Signature of Contracting Officer)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code)

9B. DATED (SEE ITEM 11)

X W912JD-07-C-2000

10B. DATED (SEE ITEM 13)

X

9A. AMENDMENT OF SOLICITATION NO.

13-Mar-2007

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)

See Schedule

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

X

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 FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

52.212-4(c)

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter

 where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

P00005

2 AMENDMENT/MODIFICATION NO 5 PROJECT NO (If applicable)

6 ISSUED BY

3 EFFECTIVE DATE

23-Mar-2011

CODE

101 MSG/MSC BASE CONTRACT NG

W912JD

105 MA NEIAC AVENUE, SUITE 510

BANGOR ME 04401-8010

W912JD 7 ADMINISTERED BY (If other than item 6)

4 REQUISITION/PURCHASE REQ NO

CODE W912JD

SERVICE CARE OF AMERICA INC

JIM LONG

2050 MARCONI DR STE 300

ALPHARETTA GA 30005-2077

CODE 0A6L9 FACILITY CODE

TEL: 207 430-5608 EMA L:

/ CONTRACTING OFFICER

 Modification Control Number: nadea171165

(b) (6) (b) (6) (b) (6) (b) (6)

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 48 of 50

Record Posted to NGB Reading Room 

13 June 14
W912JD-07-C-2000 

P00005 

Page 2 of 3 

SECTION SF 30 BLOCK 14 CONTINUATION PAGE 

 

SUMMARY OF CHANGES 

SECTION SF 1449 - CONTINUATION SHEET 

SOLICITATION/CONTRACT FORM 

 

 The total cost of this contract was increased by $22,578.00 from $67,883.36 to $90,461.36. 

SUPPLIES OR SERVICES AND PRICES 

 CLIN 0005 

 The unit price amount has increased by $168.60 from $1,712.90 to $1,881.50. 

 The option status has changed from Option to Option Exercised. 

 The total cost of this line item has increased by $2,023.20 from $20,554.80 to $22,578.00. 

ACCOUNTING AND APPROPRIATION 

Summary for the Payment Office 

 

 As a result of this modification, the total funded amount for this document was increased by $22,578.00 from 

$67,883.36 to $90,461.36. 

 

CLIN 0005: 

 

 AF: 5713840 581 41D7 374100 010000 61900 51411F 667100 F67100 (CIN F7QFSS1069A0010001) was 

increased by $22,578.00 from $0.00 to $22,578.00 

 The contract ACRN AF has been added. 

 The CIN F7QFSS1069A0010001 has been added. 

DELIVERIES AND PERFORMANCE 

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

 

 DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC 

 

 POP 01-APR-2011 TO 

01-MAR-2012 

N/A 101 ARW/SV 

SERVICES - F7QVSV 

107 PESCH CIRCLE 

SUITE 417 

BANGOR ME 04401-8026 

207-990-7262 

FOB: Destination 

F7QVSV 

 

To: 

 

 DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC 

(b) (6)

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 49 of 50

Record Posted to NGB Reading Room 

13 June 14
W912JD-07-C-2000 

P00005 

Page 3 of 3 

 

 POP 01-APR-2011 TO 

31-MAR-2012 

N/A 101 ARW/FSS 

101 FSS/FSV 

107 PESCH CIRCLE, SUITE 417 

BANGOR ME 04401 

207-990-7262 

FOB: Destination 

F7QFSS 

 

(End of Summary of Changes) 

(b) (6)

FOIA Requested Record #J-12-0041 

Released by National Guard Bureau 

Page 50 of 50

Record Posted to NGB Reading Room 

13 June 14