21RWP78_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

The purpose of this amendment is to provide minor updates to the Statement of Work and extend the closing date and time.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 19-Nov-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 N0016421RWP78

X 9B. DATED (SEE ITEM 11)

30-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 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

19-Nov-2021

CODE

NAVAL SURFACE WARFARE CENTER CRANE DIV

J. SLAVEN (812-854-8466)

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:

N0016421RWP78

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 23-Nov-2021 02:00 PM to 30-Nov-2021 02:00 PM.

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A Contract Data

Requirements List (CDRLs) A001-A005

5 11-JAN-2021

Exhibit B Past Performance Matrix 2 30-JUL-2021 Exhibit C Past Performance

Questionnaire

4 11-AUG-2021

Exhibit D Small Business Participation Form

1 07-OCT-2021

Attachment 01 Statement of Work

(SOW)

10 03-FEB-2021

Attachment 02 Drawing 952346 - Motor

- Generator

4 24-OCT-1984

Attachment 03 Drawing 855552 - Pump Unit Centrifugal

3 29-MAR-1990

Attachment 04 9525547 Motor Generator, Specifications for

13 19-MAY-1981

Attachment 05 192396 Fuse, Cartridge 7 26-APR-1977 Attachment 06 897314 Plate, Identification, Unit

1 17-FEB-1983

Attachment 07 910339 Indicator, Opened Fuse

2 12-MAR-1975

Attachment 08 910339 Supplement, Shawnut Trigger Doc and Outline

2 12-MAR-1975

Attachment 09 952548 Filter, Radio Frequency Interference

5 23-NOV-1976

Attachment 10 897316 Plate, Identification, Unit

1 12-JUN-1987

Attachment 11 S 6225-QR-MMD-010 Overhaul & Repair Manual

37 01-MAY-1984

Attachment 12 MIL-P-17840C(SH) Pump, Centrifugal, Close Coupled, Navy Stan

54 10-MAR-1986

Attachment 13 89 TRP 05 8414 Motor Generator Overhaul Procedure

132 13-FEB-2019

Attachment 14 12255 8843 960027 Motor Generator Test Procedure

45 04-AUG-2021

Attachment 15 89 TRP 12 9240 Physical Repair Procedure

131 01-MAR-2019

Attachment 16 1160001-22 Inlet Ring 1 Attachment 17 22200045 Blower

Housing

Attachment 18 22200046 Blower Housing Cover

Attachment 19 22200047 Spacer 1 27-JAN-2016 to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A Contract Data

Requirements List (CDRLs) A001-A005

5 11-JAN-2021

Exhibit B Past Performance Matrix 2 30-JUL-2021 Exhibit C Past Performance

Questionnaire

4 11-AUG-2021

Exhibit D Small Business Participation Form

1 07-OCT-2021

Attachment 01 Statement of Work

(SOW)

10 19-NOV-2021

Attachment 02 Drawing 952346 - Motor

- Generator

4 24-OCT-1984

Attachment 03 Drawing 855552 - Pump Unit Centrifugal

3 29-MAR-1990

Attachment 04 9525547 Motor Generator, Specifications for

13 19-MAY-1981

Attachment 05 192396 Fuse, Cartridge 7 26-APR-1977 Attachment 06 897314 Plate, Identification, Unit

1 17-FEB-1983

Attachment 07 910339 Indicator, Opened Fuse

2 12-MAR-1975

Attachment 08 910339 Supplement, Shawnut Trigger Doc and Outline

2 12-MAR-1975

Attachment 09 952548 Filter, Radio Frequency Interference

5 23-NOV-1976

Attachment 10 897316 Plate, Identification, Unit

1 12-JUN-1987

Attachment 11 S 6225-QR-MMD-010 Overhaul & Repair Manual

37 01-MAY-1984

Attachment 12 MIL-P-17840C(SH) Pump, Centrifugal, Close Coupled, Navy Stan

54 10-MAR-1986

Attachment 13 89 TRP 05 8414 Motor Generator Overhaul Procedure

132 13-FEB-2019

Attachment 14 12255 8843 960027 Motor Generator Test Procedure

45 04-AUG-2021

Attachment 15 89 TRP 12 9240 Physical Repair Procedure

131 01-MAR-2019

Attachment 16 1160001-22 Inlet Ring 1 Attachment 17 22200045 Blower

Housing

Attachment 18 22200046 Blower Housing Cover

Attachment 19 22200047 Spacer 1 27-JAN-2016

(End of Summary of Changes)