HomeMy WebLinkAboutContracts & Agreements_55-1998_CCv0001.pdf DEPARTMENT OF THE NAVY
SOUTHWEST DIVISION
NAVAL FACILITIES ENGINEERING COMMAND
+•:== 1220 PACIFIC HIGHWAY
SAN DIEGO,CA 92132-5190
11011
Ser 5BRE.JP/681
June 18 , 2002
LAAMayor of Redlands `� � �5
212 Brookside Avenue CCXC= Councilrne>tlk�ers, City Manager, Received
Redlands, CA 92373 Police Chief, Press JUN Z6 AV
Risk Management ar
Chop fir,
The Certificate of Insurance (COI) , which is required as a
condition of Government License N687119ORPOOPI9, expires on July 1,
2002 . This license authorizes City of Redlands Police Department non-
exclusive use of firing ranges and support facilities, located at
Marine Corps Base, Camp Pendleton, California.
Article 9 of the license requires the licensee to provide current
COI . The enclosed Insurance Requirements Form shows the precise
wording of the endorsements that must appear on the COI . The
certificate must reference the government facility covered and the
specific license number.
To assure continued use of this facility, please have your
insurance carrier forward a current COI with the required endorsements
to our office immediately. Certificates without these clauses are
invalid.
If you have any questions, please call Jessie Payne at (619) 532-
1059.
Sincerely,
KAREN P. RINGEL
Real Estate Contracting Officer
Enclosure : 1 . Insurance Requirements Form
INSURANCE REQUIREMENTS FORM
INSURANCE MUST CONFORM TO ALL THE REQUIREMENTS LISTED BELOW
PRIOR TO ISSUANCE OF THE LICENSE/LEASE
Your attention is invited to the provisions of the License/Lease pertaining to the items
checked below:
X 1. PUBLIC LIABILITY AND PROPERTY DAMAGE
a. Required minimum amounts of insurance listed below:
$ —_- 1,000,000 Third Party Property Damage
1,000,000 Third Party Personal Injury Per Person
$ 1,000.000 Third Party Personal Injury Per Accident
X 2. THE CERTIFICATE OF INSURANCE MUST CONTAIN THE FOLLOWING
ENDORSEMENTS:
a. "The insurer waives any right of subrogation against the United States of
America which might arise by reason of any payment made under this
policy."
b. "Commander, Southwest Division, Naval Facilities Engineering Command,
San Diego, California, shall be given thirty (30) days written notice prior to
making any material change in or the cancellation of the policy. Please
strikIF
e out Iand initial} any clauses that state failure to make such notice
imposes no obligation or Ii :11 ty of any kind upon the company, etc
c. "The United States of America (Dept. of the Navy) is added as an additional
insured in operations of the policyholder at or from the premises licensed 1
Ceased from the United States."
d. "This insurance certificate is for use of facilities at Marine Corps Base,
Camp Pendleton, California, Contract Number N687119ORPOOPI911.
3. NOTICE: "RIGHT TO USE" DOCUMENTS WILL NOT BE
FULLY
EXECUTED UNTIL CERTIFICATE IS RECEIVED WITH PROPER
R
AMENDMENT OF SOLICITATIONMODIFICATIO NJ! OF CONTRACT 1.CdNTRACT ID CODE PAGE OF PAGiS
I N687119MPOOP19 1 1 1 1
2.AMENDMENT/MODIFICATION NO. 3.EFFECTIVEDATE 4.REQUISITION/PURCHASE RE PROJECT NO.(traPPlicabla)
FOUR(4) 1 AUGUST 1998
6,ISSUED BY CODE 533 7,ADMINISTERED BY iff otherthantiomq) CODE
SOUTHWEST DIVISION
NAVAL FACILITIES ENGINEERING COMMAND
REAL ESTATE DEPARTMENT
1220 PACIFIC HIGHWAY
SAN DIEGO,CA 92132-6179
8.NAME AND ADDRESS OF CONTRACTOR(,va,street,county,State and ZIP Code) 9A,AMENDMENT OF SOLICITATION NO,
CITY OF REDLANDS POLICE DEPARTMENT
212 BROOKSIDE AVENUE,P.O.BOX 1025
REDLANDS,CA 92373 9B.DATED(SEE ITEM 11)
10A.MODIFICATION OF CONTRACT/ORDER NO.
N6871190RPOOP19
CODE 533SA FACILITY CODE MCB CAMP PENDLETON M00681
10B.DATED(SEE ITEM 13)
11.THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended asset forth in Item 14, The hour and date specified for receipt of Offers[]is Zdended, �js not"extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended,by one of the following methods:
(a)Bycompletin tems8andI15,andreturnin ties of the amendment*(b)B acknowle ing receipt of this amendment on each cc
ux of the offer
submitted:or 8C�Nseparate letter or tele Uldricofudes a reference of to the solicitation an,�Famendment numbers. FAILURE OF YO
-qram n
ACKNOWLEDGEMENT ENT 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 amendmentou desire to change an offer already submitted,such change maybe made by
telegram or letter,provided each telegram or letter makes reference to the solicitatiog and this amendment,and is received prior to the opening hour and date
specified.
12.ACCOUNTING AND APPROPRIATION DATA(t,required)
13.THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTSIORDERS,
IT MODIFIED 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/ORDERED 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:
xx D.OTHER(Specifytype of modification and authority)
BY MUTUAL AGREEMENT OF BOTH PARTIES
E.IMPORTANT:Contractor 11 is not,iZ is required to sign this document and return 3 copies to the issuing office.
14.DESCRIPTION OF AMENDMENTIMODIFICATION(organized by UCF$action headings,including soficitatron1contract subject matter where leasible,)
ARTICLE 2 OF THE LICENSE IS HEREBY AMENDED BY DELETING THEREFROM THE TERM"INDEFINITE'AND INSERTING IN PLACE THEREOF THE DATE"31 JULY
2003".
ALL OTHER TERMS AND CONDITIONS OF THE LICENSE REMAIN UNCHANGED.
Except as Alvvided herein all temis and conditions of tire document referenced In'tem 9A or fOA,as herechanged,remains unchanged and in Pill force and effect
SA.NAME AND TITLE OF SIGNER(Ty pe.,pm) 16A,NAME AND TITLE OF CONTRACTING OFFICER(Type or orintli
William E. Cunning�iarn, Ma-yor
SUSAN A. ANOBA
City Qf Redlands, Ca.Ufornia REAL ESTATE CONTRACTING OFFICER
15B.QONTRACTO 'OF 15C.DATE SIGNED 16B,UNITED STATES OF AMERICA
16C.DATE SIGNED
BY 911/l/98 BY
'"tunty,of Pert ulhormed to si, ai (Signature of Contracting Officer)
ATT
BY
STANDARD FORM 30(REV- 10-83)
Lo �ePOYZer
INSTRUCTIONS
Instructions for items other than those that are self-explanatory, are as follows:
(a) item I (Contract 10 Code). Insert the contract type (2) AccountingClassification .............................
identification code that appears in the title block of the Net decrease $ ...........................
contract being modified.
NOTE: If there are changes to multiple accounting
(b) Item 3 (Effective Date). classifications that cannot be placed in block 12.
insert an asterisk and the words "See continuation
(1) For a solicitation amendment, change order, or sheet."
administrative change, the effective date shall
be the issue date of the amendment, change (g) Item 13. Check the appropriate box to indicate the
order, or administrative change. type of modification. Insert in the corresponding
blank the authority under which the modification is
(2) For a supplemental agreement, the effective date issued. Check whether or not contractor must sign
shall be in the date agreed to by the contracting this document. (See FAR 43.103.)
parties.
(h) Item 14(Description of Amendment/Modification).
(3) For a modification issued as an initial or
confirming notice of termination for the (1) Organize amendments or modifications under
convenience of the Government, the effective the appropriate Uniform Contract Format (UCF)
date and the modification number of the section headings from the applicable solicitation
confirming notice shall be the same as the or contract. The UCF table of contents, however.
effective date and modification number of the shall not be set forth in this document.
initial notice.
(2) Indicate the impact of the modification on the
(4) For a modification converting a termination for overall total contract price by inserting one of the
default to a termination for the convenience of following entries:
the Government, the effective date shall be the
same as the effective date of the termination for (i) Total contract price increased by S.............
default.
(ii) Total contract price decreased by$.............
(5) For a modification confirming the contracting
officer's determination of the amount due in (iii) Total contract price unchanged.
settlement of a contract termination, the
effective date shall be the same as the effective (3) State reason for modification.
date of the initial decision.
(4) When removing, reinstating, or adding funds,
(c) Item 6 (Issued By). Insert the name and address of identify the contract items and accounting
the issuing office. If applicable, insert the classifications.
appropriate issuing office code in the code block.
(5) When the SF30 is used to reflect a determination
(d) Item 8 (Name and Address of Contractor). For by the contracting officer of the amount due in
modifications to a contract or order, enter the settlement of a contract terminated for the
contractor's name, address, and code as shown in convenience of the Government,the entry in Item
the original contract or order, unless changed by 14 of the modification may be limited to —
this or a previous modification.
(e) Items 9, {Amendment of Solicitation No. -- Dated, 0) A reference to the letter determination; and
and 10, (Modification of Contract/Order No. - Dated). 00 A statement of the net amount determined
Check the appropriate box and in the corresponding to be due in settlement of the contract.
blanks insert the number and date of the original
solicitation, contract, or order. (6) Include subject matter or short title of
solicitation/contract where feasible.
)f) Item 12 (Accounting,and Api2rol2riation Data). When
appropriate, indicate the impact of the modification (i) Item 168. The contracting officer's Signature not
on each affected accounting classification by required on soli-citation amendments. The
inserting one of the following entries: contracting officer's signature is norThatly affixed
last on supplemental agreements.
(1) Accounting classification ........................................ -
Net increase $ ..................................... STANDARD FORM 30 BACK(REV. 10-83)