Attachment 4 - SOW 730 WTD A116.pdf

STATEMENT OF WORK (SOW) – SERVICE CONTRACT

WORKSHEET

REV 2/12/13

CHECK ALL BELOW THAT APPLY:

HIGH RISK (Justify in # 12 below)

SUBSAFE

WORK IS WITHIN: ENGINEERING SPACE PROPULSION PLANT SYSTEM

(Review NAVSEAINST 9210.4B for applicability)

JML #: XXX, REQN X68438XXXXWXXX, CFMS xxxxxxx DD2276 #: (Request for Contractual Procurement (RCP) required for services over $2500 or services with terms and conditions.)

Ship/Activity: 730 USS Henry M Jackson/TRF Bangor MMAC Title: Thermal Spray Repair Service Place of Performance: Contractor Facility Period of Performance: Contractor will have 10 days to complete the work after receipt of the items Estimated cost:

Source of estimate: Vendor Quote

REFERENCES :

a) DWG 4775446 J

b) NAVSEA Technical Publication T9074-AA-GIB-010/1687

c) EM 410/193M-20

1. BACKGROUND:

NAVIMFAC PACNORWEST in support of SSBN 731 USS Henry M Jackson requires contractor services for the restoration/repair of plasma spray on six watertight door locking ring lugs.

Describe current (baseline) condition: Locking ring, item 1 of reference (a) has worn areas of thermal spray showing white base metal visible

2. SCOPE: Contractor shall:

2.1 Apply thermal spray, by process METCO 445 as directed by reference (a), to 6 Watertight Door (WTD) Locking Ring Lugs total, on 1 WTD Locking Ring. Application process shall be accomplished in accordance with reference (b) & reference (c).

2.2 The contractor shall submit proof of NAVSEA certification of the thermal spray process in accordance with reference (b) with quote.

3. DELIVERABLE ITEMS:

3.1 Certifications of contractor’s facilities, operators and QA program.

3.2 2(EA) Thermal Spray Job Record in accordance with reference(b) Figure 1, 2, 3 or 4. Selection of the appropriate record is dependent on spray process utilized by contractor for repair of Watertight Door Locking Ring Lugs, reference(a).

3.3 Figure 3 of reference(b).

3.4 Enclosure 3, 6 & 7 of reference(c).

4. CONTRACTOR FURNISHED MATERIAL:

4.1 Contractor is responsible for all materials required to accomplish thermal spray services.

5. GOVERNMENT-FURNISHED PROPERTY:

5.1 Original acquisition value of material: $4,864.25 each

5.2 Location of GFP: (1 EA) Watertight Door Locking Ring (Ref a) will be delivered to contractor by expedited shipping method.

5.3 Manufacturer, model # and type include serial number(s):

1(EA) Watertight Door Locking Ring (item 14 ref a)

5.4 Government provided or contractor pickup: Government provided

6. QUALITY ASSURANCE REQUIREMENTS:

PSNS&IMF –or- Contractor is responsible for quality assurance.

Define quality standards used for acceptance.

Primary Performance Objectives

Performance Standard/AQL Performance Assessment Method

Provide NAVSEA Certification to accomplish this work

Verified by Government Surveillance Officer

Provide completion record 100% compliance Verified by Government

Provide services to meet delivery schedule

100% compliance Verified by Government

Contractor maintain close liaison and good communication with

Government

Any problems or questions encountered by either party are addressed within 24 hours (1 business day)

Provide COR with written report of discrepancies

Final condition report of assessment

100% compliance Provide COR final assessment condition report

7. SECURITY REQUIREMENTS: NA

8. TRAVEL REQUIREMENTS: NA

Is COD (carrier onboard delivery, i.e., when the contractor will be transported to a vessel underway) required? NA

9. GOVERNMENT REPRESENTATIVE:

10. OTHER CONSIDERATIONS:

10.1 Estimated Work Hours: NA

10.2 All technical clarifications will be coordinated through the Government

Representative.

10.3 Environmental and Safety Concerns: NA

10.4 Laydown and Utilities Requirements: NA