N0016720R0019 Amendment 0005.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

Subject amendment is issued to add Attachment 13 Industry Questions and Answ ers.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 3

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

16C. DATE SIGNED

BY 18-Aug-2020

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 N0016720R0019

X 9B. DATED (SEE ITEM 11)

23-Jun-2020

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

18-Aug-2020

CODE

NAVAL SURFACE WARFARE CENTER CARDEROCK

PAMELA GREGORCZYK

757-492-4140, PAMELA.GREGORCZYK@NAVY.MIL

2600 TARAWA CT, BLDG 1602, RM 112

VIRGINIA BEACH VA 23459

N00167 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N0016720R0019

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

LIST OF ATTACHMENTS

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

Attachment Number

Description

1R1 MFR UV BWTS BDRD

2 NAVSEA Hazardous Materials Avoidance Process

3 Small Business Subcontracting Plan Coversheet

4R1 BWTS Conformance Checklist

5 Past Performance Questionnaire (For Evaluation Purposes - Will not be incorporated in award document)

6 Previous Contracting Effort Narratives (For Evaluation Purposes - Will not be incorporated in award document)

7 Cost Summary Format R1 (For Evaluation Purposes - Will not be incorporated in award document)

8 Direct Labor Rate Substantiation Table (For Evaluation Purposes - Will not be incorporated in award document)

9 Industry Questions and Answers, N00167-20-R-0019 Amendment 0001 15 July 2020

10 Industry Questions and Answers, N00167-20-R-0019 Amendment 0002 24 July 2020

11 Industry Questions and Answers, N00167-20-R-0019 Amendment 0003 11 August 2020

12 Industry Questions and Answers, N00167-20-R-0019 Amendment 0004 12 August 2020

13 Industry Questions and Answers, N00167-20-R-0019 Amendment 0005 18 August 2020

Exhibit A Contract Data Requirements A001-A005, E001-E006, and T001-T002 with DIDs

CDRL # DID # Data Item Title Description

A001R1 DI-MGMT-81864A Contracting Officer’s Management Report

Monthly Status Report

A002 R1 DI-MGMT-81650 Integrated Master Schedule

(IMS)

Master Schedule

A003 R1 DI-ADMN-81505 Report, Record of Meeting/Minutes

Kick-off Meeting, Preliminary Review, Critical Review, Design Modifications Review, Factory Visit and Manufacturing Inspection Report, Operation Test Procedure Review

A004 R1 DI-SESS-80640D Request for Variance (RFV) Request for Variance for Configuration Management

N0016720R0019

A005 R1 DI-MGMT-80441C Government Property Inventory Report

Government Property Inventory Report

E001 R1 DI-MISC-80508B Technical Report – Study/Services

Detailed Design Analysis Report

E002 R1 DI-SESS-80776A Technical Data Package Developmental TDP Post- Detailed Design

E003 R1 DI-SESS-80776A Technical Data Package Developmental TDP Post- Manufacture

E004 R1 DI-TMSS-80527C Commercial Off-the-Shelf (COTS) Manuals and Associated Supplemental Data

Technical Manual

E005 R1 DI-MISC-80508B Technical Report – Study/Services

Environmental Testing Analysis Report

E006 R1 DI-SESS-80776A Technical Data Package Product TDP Post-Testing

T001 R1 DI-SESS-81704 Test Plans/Test Procedures Factory Acceptance Test (FAT) Procedure, Environmental Test Procedures

T002 R1 DI-NDTI-80809B Test/Inspection Report FAT Report, Environmental Test Reports

(End of Summary of Changes)