18 HC1019-21-R-0007-0001 AMENDMENT.pdf

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

The purpose of this Amendment is to revise and add language in Performance Work Statement (PWS) 6.2.1 dated 8/31/2021 and extend the proposal/quote due date.

All other terms and conditions remains unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 01-Sep-2021

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 HC101921R0007

X 9B. DATED (SEE ITEM 11)

03-Aug-2021

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 X 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 1 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

01-Sep-2021

CODE

DISA/DITCO-PACIFIC

477 ESSEX STREET

BUILDING 77, ROOM 129

PEARL HARBOR HI 96860-5815

HC1019 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HC101921R0007

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 03-Sep-2021 10:00 AM to 08-Sep-2021 10:00 AM.

The following have been modified:

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

Version Date Revised 8/31/2021

Contract Number: (completed by the KO at time of contract award) Task Order Number: (completed by the KO at time of award or N/A) Contractor Name (completed by the KO at time of contract award) Tracking Number: (completed by the KO when complete package is received) Follow-on to Previous Contract and Task Order Number:

Not Applicable

1. Government Points of Contact (POC).

a. Primary Government POC.

Name: Rosella Jones Organization: DISA PAC Department of Defense Activity Address Code (DODAAC):

HC1003

Address: 477 Essex St STE 183 JBPH-H 96860 Phone Number: 808-786-9556 Fax Number: n/a E-Mail Address: rosella.g.jones.civ@mail.mil

b. Alternate Government POC.

Name: Eric Asperilla Organization: DISA PAC

DODAAC: HC1003

Address: 477 Essex St STE 183 JBPH-H 96860 Phone Number: 808-472-0021 Fax Number: n/a E-Mail Address: eric.u.asperilla.civ@mail.mil

2. Contract Title. Defense Information Systems Agency Pacific (DISA PAC) Auditorium Soundproof Wall Partition Slider Replacement

3. Background.

DISA PAC requires new structural auditorium dividers with a sound proof capability in order to divide the current conference room and provide a space where each side can be used simultaneously without interruption from noise disturbance. This will increase our ability to maximize the space for future training and conference opportunities.

4. Objectives: Replacement of existing partitions in DISA PAC’s Auditorium, Room 155, in Building 77 at 477 Essex Street on Ford Island, Joint Base Pearl Harbor-Hickam (JBPHH), Hawaii 96860.

5. Scope. Replacement of existing partitions in DISA PAC’s Auditorium, Room 155, in Building 77 at 477 Essex Street on Ford Island, JBPHH, Hawaii 96860 to include:

Purchase and install two (2) new soundproof accordion walls/partitions (on sliding ceiling tracks).

Provide commercially available, standard 2-year manufacturer’s warranty on the partitions Provide 1-year warranty on incidental installation services Remove and ensure proper disposal of existing divider(s) Clean-up of site

6. Performance Requirements.

6.1 Task 1 – Removal and Disposal of Existing Divider(s)

6.1.1 Subtask 1 – Removal. Provide all planning, necessary tools, equipment, labor, and required materials to remove the existing divider set to include the locking mechanisms, ensuring not to damage the integrity of the existing wall structure on the interior or exterior of the facility.

6.1.2 Subtask 2 – Disposal. Provide all planning, necessary tools, equipment, labor, and required materials to dispose of the existing divider(s) and incidental hardware. The contractor shall be responsible for loading and transporting all debris generated from the removal of the dividers from DISA PAC. The contractor shall be responsible for disposing of the divider(s) and incidental hardware in any way they see fit in accordance with the local laws and regulations.

6.2 Task 2 – Procure and Install New Dividers

6.2.1 Subtask 1 – Procure and Install New Dividers.

Provide all planning, necessary tools, equipment, labor, and required materials to procure and install two (2) new soundproof auditorium divider(s).

Both divider(s) must be soundproof, on sliding ceiling tracks, and include door opening with locking function.

Attached diagram show the Auditorium divided into sections A and B.

The main divider divides the room in half just above the number “153” on the diagram. Dimensions:

approximately 42’ 4” wide x 8’ 11” high. The accordion wall must be able to collapse to one side of the room and have a standard size door (36 Inches wide x 80 inches tall) that swings open to allow access to both sides of the room in panel. STC Rating of 52.

The second new divider is located behind the TV screens in the room (not pictured but would be just above the number “155A” on the attached diagram) with partition opening in the middle.

Divider shall be installed behind lower ceiling beam and flush with higher ceiling level (acoustical ceiling tile) Dimensions: approximately 22 ft 1-inch-wide x 7 ft 8 inches high.

Contractor shall be responsible for minimizing impact of existing cables currently in ceiling.

The contractor shall be responsible for loading and transporting all debris generated from the installation of the new dividers to/from DISA PAC.

The contractor shall be responsible for disposing of the divider(s) and incidental hardware in any way they see fit in accordance with the local laws and regulations Perform function test to ensure all clearances and gaps are in a reasonable tolerances and doors open, close, latch, and lock without excessive force.

6.2.2 Subtask 2 – Warranties.

The contractor shall provide commercially available, standard 2-year manufacturer’s warranty on the partitions.

The contractor shall provide a 1-year warranty on incidental installation services.

The contractor shall provide contact service information and warranty forms.

6.3 General Requirements.

The following general requirements apply to all tasks within this PWS:

All work must be accomplished during normal business hours/working duty days: 7:30am – 4:30pm HST, Mon-

Fri The Government will not provide any equipment, fuel, personnel, utilities, or facilities to the contractor for the execution of the contract.

Should an emergency arise, only the necessary basic lifesaving life support measures will be provided during the emergency.

Deliverables:

PWS

Task#

Deliverable Title

Format Due Date Distribution/Copies Frequency and Remarks

6.2.1 2 Dividers See Subtask 6.2.1 See paragraph 10 Government POCs once

6.2.2 Warranties Contractor-provided

subject to Gov approval

On date of final walk-through and function test

To Contracting Officer and Government POCs once

7. Performance Standards.

Performance Standard Acceptable Quality Level (AQL) Methods of Calculation

6.1 Task 1 – Removal and

Disposal of Existing Divider(s)

Performance occurs with no required re-performance or re-work 100% of the time. Problems that occur are minor and are resolved in a satisfactory manner

Routine inspection and final inspection

6.2 Task 2 – Procure and

Install New Dividers

Performance occurs with no required re-performance or re-work 100% of the time. Problems that occur are minor and are resolved in a satisfactory manner and in accordance with the warranty

Routine inspection, visual inspection, final walk-through, function test

6.2.2 Warranties 100% valid, written, verification

documentation received

8. Incentives. N/A

9. Place of Performance. DISA PAC Auditorium, Room 155, Building 77, 477 Essex Street on Ford Island, JBPHH, Hawaii 96860

10. Required Completion Date. Six (6) months after date of contract award. On-site work shall not exceed eight (8) business days. Start date to be coordinated with the Government POCs listed in paragraph 1 upon receipt of materials.

11. Security Requirements.

The contractor shall coordinate all on-site work with Government POCs at least 72 hours prior to requiring any site access. Contractor personnel without security clearances performing any task under this PWS must be escorted by Government personnel who are cleared.

References:

a. DISA Form 786, DISA Statement of Information System Use and Acknowledgement of User

Responsibilities

b. DISA Policy Letter, Unauthorized Connections to Network Devices, 11 September 2013

c. DISA Instruction 240-110-8, Information Security

d. DISA Instruction 240-110-36, Personnel Security

e. DISA Instruction 240-110-38, Industrial Security

f. DISA Instruction 240-110-43, Insider Threat Program

g. DISA Instruction 630-230-19, Cybersecurity

h. DoDM 5200.01, Vol 1-4 Information Security Program, 24 February 2012

i. DOD 5200.02, Procedures for the DoD Personnel Security Program, 3 April 2017

j. DOD 5220.22-M, National Industrial Security Program Operating Manual, February 2006 Incorporating

Change 02 May 2016

11.1 Facility Security Clearance. N/A - The work to be performed under this contract does not require clearance.

11.2 Security Clearance and Information Technology (IT) Level. All personnel performing on or supporting a DISA contract in any way shall be U.S. citizens. The work to be performed under this contract does not require contractor personnel to possess security clearances.

11.3 Visit Authorization Letters (VAL). Visit requests shall be processed and verified Defense Information System Security (DISS) to SMO DKASAA. DISS visits for contracts/orders are identified as “Other” or “TAD/TDY” and will include the Contract/Order Number of the contract/order in the Additional Information section. Contractors that do not have access to DISS may submit visit authorizations by e-mail from Facility Security Officer in a password protected .pdf to the Contracting Officer Representative (COR) or Alternate COR specified in Section 1.0.

If DISS is not available, the VAL must contain the following information on company letterhead

Company name, address, telephone number, facility security clearance

CAGE CODE

Contract/Order Number Name, SSN, date and place of birth, and citizenship of the employee intending to visit Certification of personnel security clearance and any special access authorizations required for the visit

(type of investigation & date, adjudication date & agency) Name of COR/Alt COR Dates or period the VAL is to be valid

11.4 Security Contacts. DISA PAC Security Personnel can be contacted for security related questions as follows:

Name: Cain S. Vasquez Phone Number: (808) 786-9393 / DSN (315) 436-9393 E-mail: cain.s.vasquez.civ@mail.mil

11.5 Information Security and other miscellaneous requirements.

11.5.1 Contractor personnel shall comply with all local security requirements including entry and exit control for personnel and property at the government facility.

11.5.2 Contractor employees shall be required to comply with all Government security regulations and requirements.

Initial and periodic safety and security training and briefings will be provided by Government security personnel.

Failure to comply with Government security regulations and requirements shall require the company to provide the Government with a written remediation/corrective action plan; furthermore, failure to comply with such requirements can be cause for removal and the contractor will not be able to provide service on this contract/order.

11.5.3 Contractor employees with an incident report in DISS who have had their access to classified suspended will not be permitted to fill positions requiring access to classified information on a DISA contract/order.

11.5.4 The Contractor shall not divulge any information, classified or unclassified, about DoD files, data processing activities or functions, user identifications, passwords, or any other knowledge that may be gained, to anyone who is not authorized to have access to such information. The Contractor shall observe and comply with the security provisions in effect at the DoD facility. Identification shall be worn and displayed as required.

11.5.5 DISA retains the right to request removal of contractor personnel regardless of prior clearance or adjudication status, whose actions, while assigned to this contract, clearly conflict with the interest of the Government.

12. Government Furnished Property (GFP)/Government-Furnished Equipment (GFE)/ Government-Furnished Information (GFI).

None. The U.S. Government will not provide any equipment, fuel, utilities, or facilities to the contractor for the execution of this contract.

13. Other Pertinent Information or Special Considerations.

a. Identification of Possible Follow-on Work. None.

b. Identification of Potential Conflicts of Interest (COI). None.

c. Identification of Non-Disclosure Requirements. None.

d. Packaging, Packing and Shipping Instructions. Ship to DISA PAC if needed.

DISA PAC Auditorium, Room 155, Building 77, 477 Essex Street on Ford Island, JBPHH, Hawaii 96860

e. Inspection and Acceptance Criteria. Passing visual inspection, walk-through, and function test with DISA PAC Government POCs. Receipt of verification documentation for the 2-year manufacturer’s warranty on the dividers and the 1-year installation warranty.

f. Property Accountability. None.

g. Transitioning. None.

h. Supply Chain Risk Management (SCRM). None.

i. Training. None.

(End of Summary of Changes)