200518 20R1690 Amend 0005.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 update the due date for Attachment 05 Past Performance Questionnaire.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 18-May-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 M6785420R1690

X 9B. DATED (SEE ITEM 11)

17-Apr-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 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

18-May-2020

CODE

COMMANDER MARINE CORPS SYSTEMS COMMAND

ATTN: ERIN HOWARD

2200 LESTER ST

QUANTICO VA 22134

M67854 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

M6785420R1690

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

DOCUMENTS AND EXHIBITS

EXHIBITS AND ATTACHMENTS

ATTACHMENT

NO. DOCUMENT PAGES DATE

01 MCTCU DETAIL SPECIFICATION (MIL-PRF-MCTCU) 69 Apr 2020

02 VERIFICATION PROGRAM FOR INSECT REPELLENT TREATMENT 3 6 Apr 2020

03 CONTRACTOR’S CONFIGURATION MANAGEMENT (CM) PLAN* TBD TBD

04 MCTCU UNISEX SIZES 1 6 Apr 2020

05 PAST PERFORMANCE QUESTIONNAIRE 4 18 May 2020

06 EAGLE, GLOBE, AND ANCHOR (EGA) PATTERN - 28 Apr 20

*Future Attachment – will be incorporated after FAT

EXHIBIT DOCUMENT PAGES DATE

A CONTRACT DATA REQUIREMENTS LISTS (CDRLs) 20 6 Apr 2020

EXHIBIT A

CDRL # SOW PARA # SOW PARAGRAPH TITLE CDRL

A001 4.2.1 Program Management Contractor’s Progress, Status and Management Report

A002

4.3.1, 4.3.2, &

4.3.3 Post Award Conf., PRR, & IPRs Conference Agenda

A003

4.3.1, 4.3.2, &

4.3.3 Post Award Conf., PRR & IPRs Conference Minutes

A004 5.1.1 Health Hazard Assessment Health Hazard Assessment Report (HHAR)

A005 5.1.2 Safety Data Sheets SDS, Safety Data Sheets

A006 4.4.3 Environmental Considerations

Technical Report, Study/Services (Environmental

Considerations)

A007

6.1.2, 6.1.3, &

8.3

Conditional FAT Approval, FAT

Disapproval, Nonconformance of

LAT

Failure Analysis and Corrective Action Report

(FACAR)

A008 7.1.2 Configuration Status Accounting Configuration Status Accounting (CSA) Information

A009 7.2 Baseline Management Contractor’s Configuration Management Plan

A010 7.2.1.1 Bill of Materials Bill of Materials

A011 7.3.1 Engineering Change Proposals Engineering Change Proposal (ECP)

A012 7.3.2, 7.3.2.1 RFV, RFV Required Data Request for Variance (RFV)

A013 7.4 Notices of Revision Notice of Revision (NOR)

A014 7.6

Quality Manual/Quality Program

Plan Quality Program Plan (QPP)

A015 8.2 Lot Acceptance Criteria Inspection Report

M6785420R1690

A016 8.2 Lot Acceptance Criteria Test Report – Shade Evaluation

A017 8.2 Lot Acceptance Criteria Test Report – Insect Repellant Content Testing

A018 9.1 Delivery Status Tracking Delivery Status Tracking

(End of Summary of Changes)