14RJS20_0007.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 add the Past Performance Questionnaire referenced in CNIN-L-0002 paragraph III(b) as Attachment (1) in Section "J".

The closing date is hereby extended to 8 July 2014, 1400 local time.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 18-Jun-2014

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 N00164-14-R-JS20

X 9B. DATED (SEE ITEM 11)

21-Feb-2014

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

18-Jun-2014

CODE

NAVAL SURFACE WARFARE CENTER CRANE DIV

C. ROGERS (812-854-5307)

BLDG 3422

300 HWY 361

CRANE IN 47522-5001

N00164 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N00164-14-R-JS20

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

ATT. (1) PPQ

Attachment (1) Past Performance Questionnaire is hereby added to Section “J” of the soliciation as Attachment (1).

This questionnaire shall be used as outlined in CNIN-L-0002, paragraph III(b) on page 70 of the original solicitation.

The closing date is hereby extended to 8 July 2014, 1400 local time.

SOURCE SELECTION SENSITIVE INFORMATION

FOR OFFICIAL USE ONLY

PAST PERFORMANCE QUESTIONNAIRE (Attachment 1)

Name of offeror: ENTER OFFEROR’S COMPANY NAME

Past Performance Reference Contract Information

Name of Contractor: Contract Number:

Contract Title: Contract Value:

Type of Contract: FFP/CPFF/IDIQ/DEF. QTY Period of Performance:

Description of Supply or Service:

The ratings below are supplied by the contractor reference identified above, NOT the offeror.

N/A - Not Applicable

5 - Exceptional- Performance meets contract requirements and significantly exceeds contract requirements to the Government’s/ industry’s benefit. For example, the contractor implemented innovative or business process reengineering techniques, which resulted in added value to the Government/Industry. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

4 - Very Good- Performance meets contractual requirements and exceeds some to the Government’s/ inuustry’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

3 - Satisfactory- Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which proposed corrective actions taken by the contractor appear satisfactory, or completed corrective actions were satisfactory.

2 - Marginal- Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has submitted minimal corrective actions, if any. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

1 - Unsatisfactory- Performance does not meet contractual requirements and recovery is not likely in a timely or cost effective manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

Performance Elements N/A 5 4 3 2 1

1. Quality of Product or Service

2. Timeliness of Performance

3. Effectiveness of Management

4. Initiative in Meeting Requirements

5. Response to Technical Direction

6. Responsiveness to Performance Problems

7. Compliance with Cost Estimates

8. Customer Satisfaction

9. Overall Performance

Remarks on exceptional performance:

Provide data supporting this observation; you may continue on a separate sheet if needed.

Remarks on unsatisfactory or below performance:

Provide data supporting this observation; you may continue on a separate sheet if needed.

Please identify any corporate affiliations with the offeror.

Would you do business with this company again?

Information provided by:

Name:

Title:

Mailing Address:

City, State and Zip Code:

Telephone Number:

Fax Number:

Time of Call:

Date Information provided:

Please submit this Questionnaire no later than 2:00 p.m. EST January 14, 2014 via U.S. Mail to NSWC Crane Division, Contracting Office ATTN Cliff Rogers, 300 Highway 361 Bldg. 3373, Crane, IN 47522 OR e-mail to the NSWC Crane Division, Contracting Office POC Dan Seaman at clifford.rogers@navy.mil ; voice (812) 854-5307