21RJQ98_SOL_0004.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

This amendment is issued to:

1) Amend the Facemask Weight requirement found in paragraph 3.1.5.6 of Binocular Night Vision Device Mount Performance Specification FROM: The facemask mounting system w eight (excluding helmet mount and hardw are) shall not exceed 208 grams; TO: The facemask mounting system w eight (excluding helmet mount and hardw are) shall not exceed 250 grams.

2) Amend the adjustment range requirement found in paragraphs 3.1.1.3, 3.1.2.3, and 3.1.5.3 from a distance not less than 35mm to a distance not less than 33mm.

3) Amend the Statement of Work titled, Binocular Night Vision Device Helmet Mount (VAS BNVD Helmet Mount), to add “shroud” to paragraph

3.2.2 (Parts List)

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 30-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 N0016421RJQ98

X 9B. DATED (SEE ITEM 11)

09-Jul-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 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

30-Sep-2021

CODE

NAVAL SURFACE WARFARE CENTER CRANE DIV

M. DRAVET (812-854-4261)

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:

N0016421RJQ98

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SECTION 4.0 - CLAUSES & OTHER FULL TEXT INFORMATION

SUMMARY OF CHANGES

SECTION 1.0 - SCHEDULE/INSPECTION & ACCEPTANCE/DELIVERY

The following have been modified:

STATEMENT OF WORK

FOR

NAVAL SURFACE WARFARE NIGHT VISION ELECTRO-OPTICS

VISUAL AUGMENTATION SYSTEMS BINOCULAR NIGHT VISION

DEVICE HELMET MOUNT

(VAS BNVD HELMET MOUNT)

Prepared by:

CRANE DIVISION

NAVAL SURFACE WARFARE CENTER

ELECTRO-OPTIC TECHNOLOGY DIVISION

CRANE DIVISION

CRANE, IN 47522-5001

FOR

VISUAL AUGMENTATION SYSTEMS

BINOCULAR NIGHT VISION DEVICE HELMET MOUNT

(VAS BNVD HELMET MOUNT)

1.0 SCOPE. This Statement of Work (SOW) sets forth the requirements for the procurement of a non-developmental item (NDI) for the Visual Augmentation Systems Binocular Night Vision Device Helmet Mount (VAS BNVD Helmet Mount). The Production Baseline (PBL) shall be established at the time of contract award.

This SOW provides for the technical documentation for the breakaway and non-breakaway Binocular night Vision Device (BNVD) Helmet Mounts, which are compatible with the Enhanced Combat Helmet (ECH) shroud. Other items include a provided one-hole shroud compatible with ECH and Advanced Combat Helmet (ACH) helmets and vendor mounts listed above, strap mount kit which will allow BNVD to be attached to the ECH and ACH with no mounting holes, and the head mount for the BNVD without a helmet.

1.1 BACKGROUND. This acquisition will serve as the material solution to provide a BNVD Helmet Mount to the United States Navy which have a BNVD. The BNVD Helmet Mount will enhance the situational awareness of the Navy operator and provide surveillance, identification, recognition, and detection in all light and weather conditions while having hands free usage of the BNVD.

2.0 LISTING OF APPLICABLE DOCUMENTS. The following specifications and standards form a part of this SOW to the extent specified herein. Unless otherwise specified, the issues of these documents are those listed in the latest issue of the Department of Defense Index of Specifications and Standards (DODISS) and supplement there to.

2.1 Performance Specifications

PRF/21/JXQS/171 FY21 Binocular Night Vision Device (BNVD) Helmet Mount

Performance Specification

2.2 Military Standards

MIL-STD-130N (1) Identification Marking of U. S. Military Property dated 16 Nov 2012

MIL-PRF-32216A (1) Evaluation of COTS Manuals and Preparation of Supplemental Data dated 07 JUN 2016

MIL-STD-461G Requirements for the Control of Electromagnetic Interference Characteristics of Subsystems and Equipment dated 11 Oct 2018

MIL-STD-810G (1) Environmental Engineering Considerations and Laboratory Tests dated 15 Apr 2014

2.3 Department of Defense Handbooks

MIL-HDBK-61A Configuration Management Guidance dated 07 Feb 2001

2.4 Non-Government Standards and Other Publications

ISO 9001:2015 Quality Assurance in Design Development, Production, Installation and Servicing dated 15 Oct 2018

EIA-649-B Configuration Management Standard dated 04 Mar 2015

Drawings NVG001B Dovetail Interface

2.5 Order of Precedence. In the event of a conflict between the text of this document and the references cited herein, the text of this document shall take precedence. Nothing in this document shall supersede applicable Federal, State, or Local Laws and regulations unless a specific exemption has been obtained.

2.6 Availability of DOD Documents. Government specifications, standards and handbooks are available online at http://assist.daps.dla.mil or from the Standardization Document Order Desk, 700 Robbins Avenue, Building 4D, Philadelphia, PA 19111-5094. Non-Government Publications are available online at http://www.ansi.org or from the American National Standards Institute, 25 West 43rd Street, 4th floor, New York, NY 10036.

3.0 REQUIREMENTS.

3.1 General. The Contractor shall deliver production BNVD helmet mount in accordance with (IAW) this SOW and the performance requirements contained in the Performance Specifications identified in paragraph 2.1 (referred herein as Performance Specification).

3.2 Technical Data.

3.2.1 Operators Technical Manual. The Contractor shall provide a COTS Operator’s Manual for the BNVD Helmet Mount procured under this contract. The Operators Manual at a minimum shall include Introduction, Preparation for use and installation, Principles of Operation, Operational Illustrations, Safety Precautions (Warnings, Cautions, and Notes) and information on the functionality of the BNVD Helmet Mount, its components/accessories including adjustments, and operator checks and services. The Contractor shall provide unit/COTS Operator manuals with each delivered BNVD Helmet Mount. The Operator Manual shall be provided in hard copy format as well as CD-ROM IAW with both .doc and .pdf copies (CDRL A001).

3.2.2 Parts List. The Contractor shall provide a Proposed Spare Parts List for BNVD Helmet Mount (breakaway and non-breakaway), Facemask, shroud and Strap. Subcategories found under each major item (mount/facemask/shroud/strap) include Item Name, Vendor Part Number, Supplier Part Number, Cage Code, NSN, and Quantity per end item, Unit Price, Quantity per Package, and Lead Time. (CDRL A002)

3.2.3 Drawings and Associated Lists. The Contractor shall provide a top-level mount drawing for the BNVD Helmet breakaway and non-breakaway mounts, one hole shrouds, straps, and facemask to establish Nomenclature and National Stock Number (NSN) assignment. The latest revision of drawings shall be submitted to the Government throughout the life of the contract. (CDRL A003)

CDRL Matrix

CDRL Number CDRL Name

A001 Operational Technical Manual

A002 Parts List

A003 Drawing and Associated Lists Table 1

SECTION 4.0 - CLAUSES & OTHER FULL TEXT INFORMATION

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A CDRLs 3 02-AUG-2021

Attachment 1 Dovetail Interface Drawing

1 05-NOV-2020

Attachment 2 Performance Specification

8 30-AUG-2021

Attachment 3 Past Performance Questionnaire

2 03-AUG-2021

to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A CDRLs 3 02-AUG-2021 Attachment 1 Dovetail Interface

Drawing

1 05-NOV-2020

Attachment 2 Performance Specification

8 30-SEP-2021

Attachment 3 Past Performance Questionnaire

2 03-AUG-2021

(End of Summary of Changes)