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Administration
Revision To Award for Supplies or Services 1 2! 2
Revision No.
3
Date of Award:
Date of Revision:
Contract Nun (if any): Award No. (if any):
DTFA1197CO0107
^-(tractor (Name, Address, and Zip Code):
�..r EAGLE COUNTY AIRPORT
STATE OF COLORADO
P O BOX 850
EAGLE, CO 81631
Contact Point/Phone No:
JANES ELWOOD
970-524-9490
F.O.B. Point: Ship Via: Discount Terms:
Destination Best Means Due in 30
PURCHASER NAME AND PHONE NO:
Malinda Price
(425)227-2919
vlail Invoice To (Name, Address, and Zip Code):
DOT/FEDERAL AVIATION ADMINISTRATION
NORTHWEST MOUNTAIN REGION, ANM-53
1601 Lind Ave, SW,
Renton, WA 98055
Issuing Office (Address Correspondence To):
DOT/FEDERAL AVIATION ADMINISTRATION
ACQUISITION MANAGEMENT BRANCH, ANM—RCLSSAI6
1601 LIND AVENUE SW, SUITE 340
RENTON, WA 98055
FAX No: (425)227-2922
TOTAL AMOUNT OF ORDER/AWARD:
$483,305.00
FROM:
$454,055.00
AWARD IS CHANGED BY:
$29,250.00
IMPORTANT: Contractor p is, p is not required to sign this document and return _ copies to the issuing office.
NAME AND TITLE OF PERSON AUTHORIZED TO SIGN: UNITED STATES OF AMERICA
BY NAME I CONTRACTING OFFICER:
BYGZ�/ U��/ t
DATE WNER; 6/zr.� P a A Workman DATE SI
OMB 2120-0595
IECTION TO COMPUTER ERROR V�
N 41
to Vendor 7A
Revision 1 of October 1, 1998, exercises an optio t� h uh%f operation.
*** Line 1 was Cancelled ***
*** Line 2 was Cancelled
*** Line 3 was Cancelled ***�•' ' Q
Line Description Quantity UOM Unit Price LI Total $
4 ATC SVC 248,555.00 US Dollar $1.00 $248,555.00
Shipment S690564M
QUANTITY DELIVER BY
# 1 DOT/FEDERAL AVIATION ADMIN
248,555.00 30—SEP-1998
NORTHWEST MOUNTAIN REGION
1601 LIND AVE SW
RENTON, WA 98055
W.801-.0—.--.120—.2141NM.2547.480100. .-.---
AMOUNT
$248,555.00
OM
Federal Aviation Revision To Award for Supplies or Services
• A F dNnistration -
Date of Award: 01-0CT--1998 Contract Number (if any). Award No. (if any): ',"W
Date ofZZevision: 27-APR-19991 DTFA1197CO0107
IMPORTANT: Mark all mckaae(s), invoice(s), and conresoondence with contract and/or order/award numbers.
Description Quantity UOM Unit Price
5 Liability insurance associated with Eagle contract 1.00 Year $12,000.00
tower services referenced in item #1. (1,000,000)
PLACE OF INSPECTION AND ACCEPTANCE: Destination
Requisition No. 9900123
Shipment S690564M QUANTITY
# 1 DOT/FEDERAL AVIATION ADMIN 1.00
NORTHWEST MOUNTAIN REGION
1601 LIND AVE SW
RENTON, WA 98055
W.901-.0—..120---.2141NM.2547.480100.-.--.-.1SEGE---- AMOUNT
$12,000.00
Line Description Quantity UOM Unit Price
6 Contract between County of Eagle, CO and FAA for 1.00 Year $193,500.00
purpose of providing and operating a Visual Flight
Rules (VFR) Airport Traffic Control Tower (ATCT) at
Eagle County Regional Airport for the period of
10/1/98 through 9/30/99.
PLACE OF INSPECTION AND ACCEPTANCE: Destination
Page
2 of 2
Revision No.
3
LI Total $
$12,000.00
DELIVER BY
01-OCT-1998
LI Total $
$193,500.00
V
Requisition No. 9900123
Shipment S690564M QUANTITY DELIVER BY
# 1 DOT/FEDERAL AVIATION ADMIN 1.00 01—OCT-1998
NORTHWEST MOUNTAIN REGION
1601 LIND AVE SW
RENTON, WA 98055
W.901-.0--..120--.2141NM.2547.480100.-.—.-.1 SEGE-- AMOUNT
$193,500.00
Line Description Quantity UOM Unit Price LI Total $
7 Adding a fourth position for the control tower at the 6.00 Month $4,875.00 $29,250.00
Eagle County Regional Airport with the current
contractor, Midwest Air Traffic Control, for the period
of April 1, 1999 thru 9/30/99
PLACE OF INSPECTION AND ACCEPTANCE: Destination
Requisition No. 9900575
Shipment S690564M QUANTITY DELIVER BY
# 1 DOT/FEDERAL AVIATION ADMIN 6.00 01—APR-1999
NORTHWEST MOUNTAIN REGION
1601 LIND AVE SW
RENTON, WA 98055
W.901-.0—.--.120---.2126NM.2547.480100.-.—.-.1SEGE--- AMOUNT
$29,250.00
Note to Vendor
In consideration of the revision to add a fourth position, the contractor releases the FAA from any future requests for equitable adjustment arising from this
change.
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B1STR�TON
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