N0016724Q0214_0001.pdf

SEE SCHEDULE

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:

I. Correct the Minimum Specif ications.

II. All other terms and conditions remain unchanges and in full effect.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 23-Jul-2024

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 N0016724Q0214

X 9B. DATED (SEE ITEM 11)

22-Jul-2024

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

23-Jul-2024

CODE

NAVAL SURFACE WARFARE CENTER CARDEROCK

BRITTANY B. TAVASSOLI

BRITTANY.B.TAVASSOLI.CIV@US.NAVY.MIL

904 CORPORATE LANE

CHESAPEAKE VA 23320

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N0016724Q0214

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

MINIMUM SPECIFICATIONS

Teflon Coating Molds

1.0 DESCRIPTION OF SERVICES/INTRODUCTION: Objective is to coat all 26 aluminum mold surfaces with Teflon T1503 that come in contact with liquid urethane polymer so the cured solid polymer will not stick and will release the mold for later reuse.

1.1 BACKGROUND: Several instances of Teflon T1503 coating on NSWCCD custom designed and constructed aluminum mold surfaces has met the required objective of enabling the release from the cured solid urethane polymer.

2.0 OBJECTIVE: NSWCCD personnel will transport the 26 components to and from the vendor to ensure component integrity of the custom designed and constructed aluminum molds.

2.1 The contractor shall coat all 26 aluminum mold surfaces with Teflon T1503 as specified in the two drawings referenced in section 4.

3.0 SPECIAL QUALIFICATIONS: Contractor required to be located within local proximity to Carderock (9500

MacArthur Blvd., West Bethesda, MD 20817) of sixty (60) miles to permit local delivery of designed and manufactured products, weighing 100+ pounds, to and from the vendor.

4.0 APPLICABLE DOCUMENTS

Document Type No./Version Title Date

PDF Drawing NA Three Rail Molds 20 Mar 2024

Power Point Drawing NA Plate Molds 18 June 2024

5.0 GOVERNMENT FURNISHED EQUIPMENT/PROPERTY/INFORMATION

One 36X36X0.5 in Anchor/Fill Plate

One 36X36X0.5 in Back Plate

One Rail Set 1 (R1) consisting of four pieces to form a 36X36X1.7 in frame.

One Rail Set 2 (R2) consisting of four pieces to form a 36X36X1.5 in frame.

One Rail Set 3 (R3) consisting of four pieces to form a 36X36X2.3 in frame.

Six 38X40X0.5 in Plate Mold: Back Plate

Six 38X40X0.5 in Plate Mold: Fill Plate

6.0 DELIVERABLES: The contractor shall provide deliverables as described in the Contract Data Requirements

List (CDRL). Format and delivery schedule for deliverables will be outlined in the CDRLs.

Number Name

A001 Government Furnished Property Inventory Report

7.0 SECURITY REQUIREMENTS: Unclassified

N0016724Q0214

The following have been deleted:

MINIMUM SPECIFICATIONS

(End of Summary of Changes)