21-Q-0552 AMENDMENT.pdf

N4523A03448383

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

THIS AMENDMENT IS ISSUED TO:

1. ADD ANOTHER LINE ITEM.

2. INCORPATE SECOND CERTIFICATE OF COMPLIANCE.

1. CONTRACT ID CODE PAGE OF PAGES

1 6

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

16C. DATE SIGNED

BY 23-Dec-2020

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X SPMYM221Q0552

X 9B. DATED (SEE ITEM 11)

22-Dec-2020

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

23-Dec-2020

CODE

DLA MARITIME PUGET SOUND

ATTN: ANDREA HART

467 W STREET

BREMERTON WA 98314

SPMYM2 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

SPMYM221Q0552

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0003 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 1

ANCHOR WINCH

FFP

STBD ANCHOR WINCH GEARBOX ASSY. CONSIST OF THE FOLLOWING:

1)TBV-AN-409 STBD ANCHOR WINCH GEARBOX ASSY. A1

A.TBV-AN-411 STBD GEARBOX CASE WELDMENT ASSY. A1

I.TBV-AN-202 GEARBOX CASE TOP

II.TBV-AN—203 GEARBOX CASE SIDE 1

III.TBV-AN—204 GEARBOX CASE SIDE 2

IV.TBV-AN—205 GEARBOX CASE SIDE 3

V.TBV-AN—206 GEARBOX CASE SIDE 4

VI.TBV-AN-207 GEARBOX CASE BOTTOM

VII.TBV-AN-208 GEARBOX CASE INSERT 1

VIII.TBV-AN-209 GEARBOX CASE INSERT 2

2)TBV-AN-230 WORM GEAR SHAFT ASSY. A1

A.TBV-AN-231 WORM GEAR SHAFT

B.TBV-AN-233 WORM GEAR

C.TBV-AN-234 WORM GEAR BEARING

D.TBV-AN-244 WORM WHEEL GEAR BEARING

E.TBV-AN-235 WORM GEAR CARRIER 1

F.TBV-AN-236 WORM GEAR CARRIER 2

G.TBV-AN-315 WORM GEAR SHAFT KEY

3)TBV-AN-412 STBD WORM WHEEL SHAFT ASSY. A1

A.TBV-AN-413 STBD WORM WHEEL GEAR SHAFT

B.TBV-AN-243 WORM WHEEL GEAR

C.TBV-AN-244 WORM WHEEL GEAR BEARING

D.TBV-AN-245 WORM WHEEL GEAR CARRIER 1

E.TBV-AN-246 WORM WHEEL GEAR CARRIER 2

F.TBV-AN-414 WORM WHEEL SHAFT PIN

G.TBV-AN-248 WORM WHEEL SHAFT OUTPUT KEY

H.TBV-AN-316 WORM WHEEL GEAR SHAFT KEY

4)TBV-AN-210 GEARBOX CASE ACCESS PLATE

5)TBV-AN-238 WORM GEAR CARRIER SHIM

6)TBV-AN-249 WORM WHEEL CARRIER SHIM

FOB: Destination

MILSTRIP: N4523A03448384

PC NR: A1

PROJECT: 6X1

PSC CD: 5340

NET AMT

CLIN 0004 is added as follows:

CONTRACT DATA REQUIREMENTS LIST

FFP

SEE CONTRACT DATA REQUIREMENTS LIST FOR DETAILS.

PC NR: A1

SUBCLIN 0004AA is added as follows:

0004AA 1 Each

CONTRACT DATA REQUIREMENTS LIST

FFP

SEE EXHIBIT B: CERTIFICATION/DATA REPORT (CERTIFICATE OF

COMPLIANCE) FOR DETAILS.

TO BE FORWARDED IN ACCORDANCE WITH EXHIBIT B.

FOB: Destination

MILSTRIP: N4523A03448384

PC NR: A1

PSC CD: 5340

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for CLIN 0003 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

26-FEB-2021 1 PUGET SOUND NAVAL SHIPYARD

RECEIVING OFFICER PSNS

BLDG 514

1400 FARRAGUT AVE

N4523A

BREMERTON WA 98314-5001

360-476-7640 FOB: Destination

N4523A

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0003:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 0004:

N/A N/A N/A N/A

The following Acceptance/Inspection Schedule was added for SUBCLIN 0004AA:

Destination Government Destination Government

The following have been modified:

ATTACHMENTS

ATTACHMENT 1 STATEMENT OF WORK 3 PAGES

EXHIBIT A CDRL-COC 1 PAGE

EXHIBIT B CDRL-COC 1 PAGE

DRAWINGS AS FOLLOWS:

TBV-AN-026 – 3 PAGES

TBV-AN-201-5 PAGES

TBV-AN-202- 1 PAGE

TBV-AN-203-1 PAGE

TBV-AN-204-1 PAGE

TBV-AN-205-1 PAGE

TBV-AN-206-1 PAGE

TBV-AN-207-1 PAGE

TBV-AN-208-1 PAGE

TBV-AN-209-1 PAGE

TBV-AN-210-1 PAGE

TBV-AN-230-2 PAGES

TBV-AN-231- 1 PAGE

TBV-AN-233-1 PAGE

TBV-AN-234-1 PAGE

TBV-AN-235-1 PAGE

TBV-AN-236-1 PAGE

TBV-AN-238-1 PAGE

TBV-AN-240-2 PAGES

TBV-AN-243-1 PAGE

TBV-AN-244-1 PAGE

TBV-AN-245-1 PAGE

TBV-AN-246-1 PAGE

TBV-AN-248-1 PAGE

TBV-AN-249-1 PAGE

TBV-AN-315-1 PAGE

TBV-AN-316-1 PAGE

TBV-AN-414- 1 PAGE

(End of Summary of Changes)