N0017423Q0027-A0001.pdf

IH SAP

NAVSEA, NSWC INDIAN HEAD

101 STRAUSS AVE

INDIAN HEAD MD 20640-5035

N0017423SIMACQMI0084

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

Purpose of the amendment is to correct the Quantity and extend the closing date FROM: 2 March 2023, TO: 9 March 2023.

1. CONTRACT ID CODE PAGE OF PAGES

1 8

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

16C. DATE SIGNED

BY 27-Feb-2023

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 N0017423Q0027

X 9B. DATED (SEE ITEM 11)

15-Feb-2023

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 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

27-Feb-2023

CODE

NSWC IHD

4801 NORTH JACKSON ROAD

BUILDING 841, ROOM 20

INDIAN HEAD MD 20640

N00174 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE N00174

FACILITY CODECODE

francine.keys@navy.milEMAIL:301-744-6687TEL:

FRANCINE L KEYS / CONTRACTS

N0017423Q0027

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN description has changed from 834AS101 MANIFOLD to 834A113-2 REV D PIN, SHEAR.

The pricing detail quantity has decreased by 205.00 from 225.00 to 20.00.

CLIN 0002

The CLIN description has changed from 834AS106 OUTLET ASSEMBLY (FAT) to 834AS113-2 REV D.

The pricing detail quantity has decreased by 75.00 from 400.00 to 325.00.

CLIN 0003

The CLIN description has changed from 834AS106 OUTLET ASSEMBLY to 834AS106 REV D

OUTLET ASSEMBLY.

The pricing detail quantity has decreased by 240.00 from 400.00 to 160.00.

CLIN 0004

The CLIN description has changed from 834AS110-2 FILTER (FAT) to 834AS101 REV D

MANIFOLD.

The pricing detail quantity has decreased by 125.00 from 225.00 to 100.00.

CLIN 0005

The CLIN description has changed from 834AS110-2 FILTER to 834AS110-2 REV D FILTER.

The pricing detail quantity has decreased by 125.00 from 225.00 to 100.00.

CLIN 0006

The CLIN description has changed from 834113 SHEAR PIN (FAT) to 834113-1 REV D SHEAR PIN

(FAT).

CLIN 0007

The CLIN description has changed from 834AS113 SHEAR PIN to 834AS113-1 REV D SHEAR PIN.

The pricing detail quantity has increased by 325.00 from 300.00 to 625.00.

CLIN 0008

The CLIN description has changed from 834A114 FIRING PIN (FAT) to 834A114 FIRING PIN.

The pricing detail quantity has decreased by 150.00 from 150.00 to 0.00.

The unit of issue Each has been deleted.

CLIN 0009

The pricing detail quantity has increased by 375.00 from 150.00 to 525.00.

CLIN 0010

The pricing detail quantity has decreased by 150.00 from 150.00 to 0.00.

The unit of issue Each has been deleted.

CLIN 0011

The pricing detail quantity has increased by 45.00 from 225.00 to 270.00.

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

26-MAY-2023 225 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221 FOB: Destination

N00174

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

26-MAY-2023 20 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

14-APR-2023 400 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 325 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0003 has been changed from:

CAGE

26-MAY-2023 400 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 160 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0004 has been changed from:

14-APR-2023 225 NSWC IHD

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 100 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0005 has been changed from:

CAGE

26-MAY-2023 225 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 100 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0006 has been changed from:

14-APR-2023 20 NSWC IHD

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 20 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0007 has been changed from:

CAGE

26-MAY-2023 300 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 625 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0008 has been changed from:

14-APR-2023 150 NSWC IHD

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 0 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0009 has been changed from:

CAGE

26-MAY-2023 150 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 525 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0010 has been changed from:

14-APR-2023 150 NSWC IHD

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 0 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

The following Delivery Schedule item for CLIN 0011 has been changed from:

CAGE

26-MAY-2023 225 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

CAGE

26-MAY-2023 270 NSWC IHD

RECEIVING

4522 MCMAHAN ROAD B116

INDIAN HEAD MD 20640-5125

301-744-4221

(End of Summary of Changes)