N00024-16-R-4100_Amend_0003.pdf

TBD

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

See attached for details.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 3

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

16C. DATE SIGNED

BY 25-Oct-2016

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 N00024-16-R-4100

X 9B. DATED (SEE ITEM 11)

09-Sep-2016

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

25-Oct-2016

CODE

NAVAL SEA SYSTEMS COMMAND (HQ)

1333 ISAAC HULL AVE SE

WASHINGTON NAVY YARD DC 20376-2030

N00024 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N00024-16-R-4100

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

AMENDMENT BODY

The purpose of Amendment 0003 is to:

1) Revise Attachment 21 – Pricing Worksheet so that the Norfolk tabs include the “Total Cost of Money” in the

"Total Estimated Cost" and update Section J accordingly.

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

The following document(s), exhibit(s), and other attachment(s) form a part of this contract:

ATTACHMENT 1 List of assigned Vessels

ATTACHMENT 2 Safe Stowage Check-off List

ATTACHMENT 3 Repair Request Work Order (RRWO)(sample)

ATTACHMENT 4 Reserved

ATTACHMENT 5 Janitorial Task and Frequency Chart

ATTACHMENT 6 Government Furnished Equipment

ATTACHMENT 7 Government Furnished Vehicles

ATTACHMENT 8 Government Furnished Tools

ATTACHMENT 9 Reserved

ATTACHMENT 10 Quality Assurance Surveillance Form for Cathodic Protection (C/P) Inspection

ATTACHMENT 11 Quality Assurance Surveillance Form for Dehumidification (D/H) Inspection

ATTACHMENT 12 Quality Assurance Surveillance Form for Fire and Flood (F/F) Inspection

ATTACHMENT 13 Integrity Inspection

ATTACHMENT 14 Arrival Inspection Check-Off Sheet

ATTACHMENT 15 Inspection of Disposal Vessel

ATTACHMENT 16 Security Violation Report

ATTACHMENT 17 CO2 Fire Extinguisher and Dry Chemical Inspection Log

N00024-16-R-4100

ATTACHMENT 18 Mooring and Security Inspection Log

ATTACHMENT 19 Strike Ship Check-off List

ATTACHMENT 20 Polychlorinated Biphenyl (PCB) Inventory Survey

ATTACHMENT 21 Pricing Worksheet (Updated Amend 0003)

ATTACHMENT 22 Contract Security Classification Specification, DD Form 254

ATTACHMENT 23 Quality Assurance Surveillance Plan

EXHIBIT A DD Form 1423, Contract Data Requirements List

EXHIBIT B Past Performance Data

EXHIBIT C Pas Performance Questionnaire

(End of Summary of Changes)