N0016416T0084_0001.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

LINE ITEMS/ CLINs number 16 -21 have been deleted and LINE ITEM 27 has been added. Please refer to the LINE ITEM PRICE MATRIX. All other terms and conditions, clauses and provisions remain unchanged. The due date for proposals has been extended until May 6, 2016 by

2pm.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 25-Apr-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 N00164-16-T-0084

X 9B. DATED (SEE ITEM 11)

12-Apr-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 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

20-Apr-2016

CODE

NAVAL SURFACE WARFARE CENTER CRANE DIV

S. JUNKINS (812-854-8833)

BLDG 121

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:

N00164-16-T-0084

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SECTION SF30 - SF 30 CONTINUATION SHEET

SUMMARY OF CHANGES

SECTION SAP - SAP CONTINUATION SHEET

The DPAS code DO-C9 has been added.

The required response date/time has changed from 29-Apr-2016 02:00 PM to 06-May-2016 02:00 PM.

CLIN 0016

The CLIN description has changed from Single Vision Prescript Chemical Goggles to DELETED.

The following CLIN extended description has been deleted:

The lenses must be ANSI Z87.1 certified with single vision lenses for non-vented chemical goggles.

CLIN 0017

The CLIN description has changed from Multifocal Prescript Chemical Goggles to DELETED.

The lenses must be ANSI Z87.1 certified with multifocal lenses for non-vented chemical goggles.

CLIN 0018

The CLIN description has changed from Progressive Prescript Chemical Goggles to DELETED.

The lenses must be ANSI Z87.1 certified with progressive lenses for non-vented chemical goggles.

CLIN 0019

The CLIN description has changed from Single Vision Prescript Chemical Goggles to DELETED.

The lenses must be ANSI Z87.1 certified with single vision lenses for vented chemical goggles.

CLIN 0020

The CLIN description has changed from Multifocal Prescript Chemical Goggles to DELETED.

The lenses must be ANSI Z87.1 certified with multifocal lenses for vented chemical goggles.

CLIN 0021

The CLIN description has changed from Progressive Prescript Chemical Goggles to DELETED.

The lenses must be ANSI Z87.1 certified with progressivel lenses for vented chemical goggles.

CLIN 0027 is added as follows:

ITEM NO SUPPLIES/SERVICES QTY U/I UNIT PRICE AMOUNT

0027 Chemical Goggles

The lenses must be ANSI Z87.1 certified for vented chemical goggles.

UNDEFI

NED

FSC/PSC: 8465

FOB: Destination

FFP

The following Acceptance/Inspection Schedule was added for CLIN 0027:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following have been modified:

LINE ITEM PRICE MATRIX

IDIQ DETAIL

This is a Five (5) Year IDIQ Contract

Anticipated Order Quantity (QTY) Varies by Year

Unit of Issue: Each

Contract Pricing not to exceed $125,000.00

NOTE: CY = Contract Year beginning date of award

The contractor shall submit firm-fixed pricing (FFP), FOB Destination, Crane, Indiana 47522 -5001 for five (5) years for LINE ITEM 0001 through LINE ITEM 0026.

Each year consists of 365 calendar days (366 in a leap year) starting the day of contract award.

Short Description $Price

LINE

ITEM

All Safety Glasses must ANSI Z87.1 certified and include both permanent side shields and case.

Yr 1 Yr 2 Yr 3 Yr 4 Yr 5

1 SV Prescript Frame Grp 1 $ $ $ $ $

2 SV Prescript Frame Grp 2 $ $ $ $ $

3 SV Prescript Frame Grp 3 $ $ $ $ $

4 SV Prescript Frame Grp 4 $ $ $ $ $

5 MF Prescript Frame Grp 1 $ $ $ $ $

6 MF Prescript Frame Grp 2 $ $ $ $ $

7 MF Prescript Frame Grp 3 $ $ $ $ $

8 MF Prescript Frame Grp 4 $ $ $ $ $

9 Prog Prescript Frame Grp 1 $ $ $ $ $

10 Prog Prescript Frame Grp 2 $ $ $ $ $

11 Prog Prescript Frame Grp 3 $ $ $ $ $

12 Prog Prescript Frame Grp 4 $ $ $ $ $

13 SV Prescript Inserts $ $ $ $ $

14 MF Prescript Inserts $ $ $ $ $

15 Prog Prescript Inserts $ $ $ $ $

22 SV Prescript Chem Inserts for Chem Goggles $ $ $ $ $

23 MF Prescript Chem Inserts for Chem Goggles $ $ $ $ $

24 Prog Prescript Chem Inserts for Chem Goggles $ $ $ $ $

25 See Approved Accessories Table $ $ $ $ $

26 Dispensing Fee $ $ $ $ $

27 Chemical Goggles Vented $ $ $ $ $

(End of Summary of Changes)