4.06 P0001 Amendment 8.3.pdf

N4582F25RC005AD

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 revise the Request for Quote to remove all regulator requirements. This includes removal of the CLINS and associated language in the PWS. Additionally, the NAICS code has been fixed after the initial error at time of original posting. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 10

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

16C. DATE SIGNED

BY 03-Sep-2025

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 N0018925Q0498

X 9B. DATED (SEE ITEM 11)

28-Aug-2025

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

03-Sep-2025

CODE

NAVSUP FLC NORFOLK CONTRACTING

NORFOLK OFFICE

ATTN: TAYLOR POTEET

1968 GILBERT STREET - SUITE 600

NORFOLK VA 23511-3392

N00189 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N0018925Q0498

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The NAICS code has changed from 325120 to 811210.

CLIN 0002

The CLIN extended description has changed from:

Regulator RRI 120-1200 Calibration IAW enclosed Performance Work Statement.

To:

DO NOT USE CLIN - WILL BE DELETED AT TIME OF AWARD

The pricing detail quantity has decreased by 100.00 from 100.00 to 0.00.

CLIN 0003

Regulator RRI 120-1220 Calibration IAW enclosed Performance Work Statement.

CLIN 0004

Regulator Maintenance IAW enclosed Performance Work Statement. NTE $2,500.00.

The pricing detail quantity has decreased by 1.00 from 1.00 to 0.00.

CLIN 1001

CLIN 1002

CLIN 1003

CLIN 1004

CLIN 2001

CLIN 2002

CLIN 2003

CLIN 2004

CLIN 3001

CLIN 3002

CLIN 3003

CLIN 3004

CLIN 4001

CLIN 4002

CLIN 4003

CLIN 4004

The pricing detail quantity has decreased by 1.00 from 1.00 to 0.00.

DELIVERIES AND PERFORMANCE

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

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 22-SEP-2025 TO

21-SEP-2026

N/A NAVY EXPEDITIONARY COMBAT

COMMAND

KYLE E ROSSI

CHEATHAM ANNEX, WAREHOUSE 8, C

STREET

WILLIAMSBURG VA 23185

757-887-4216 FOB: Destination

N4582F

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 22-SEP-2025 TO

21-SEP-2026

N/A NAVY EXPEDITIONARY COMBAT

COMMAND

KYLE E ROSSI

CHEATHAM ANNEX, WAREHOUSE 8, C

STREET

WILLIAMSBURG VA 23185

757-887-4216

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

CAGE

POP 22-SEP-2025 TO

21-SEP-2026

N/A NAVY EXPEDITIONARY COMBAT

COMMAND

KYLE E ROSSI

CHEATHAM ANNEX, WAREHOUSE 8, C

STREET

WILLIAMSBURG VA 23185

757-887-4216

CAGE

POP 22-SEP-2025 TO

21-SEP-2026

N/A NAVY EXPEDITIONARY COMBAT

COMMAND

KYLE E ROSSI

CHEATHAM ANNEX, WAREHOUSE 8, C

STREET

WILLIAMSBURG VA 23185

757-887-4216

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

CAGE

POP 22-SEP-2025 TO

21-SEP-2026

N/A NAVY EXPEDITIONARY COMBAT

COMMAND

KYLE E ROSSI

CHEATHAM ANNEX, WAREHOUSE 8, C

STREET

WILLIAMSBURG VA 23185

757-887-4216

CAGE

POP 22-SEP-2025 TO

21-SEP-2026

N/A NAVY EXPEDITIONARY COMBAT

COMMAND

KYLE E ROSSI

CHEATHAM ANNEX, WAREHOUSE 8, C

STREET

WILLIAMSBURG VA 23185

757-887-4216

The following have been modified:

PERFORMANCE WORK STATEMENT

Performance Work Statement Navy Expeditionary Combat Command

Medical Central Issue Facility Oxygen Cylinder Hydro-Static Testing and Filling

A. SCOPE

Medical Central Issue Facility (MEDCIF) is responsible for inventory management, customer support services and the analysis of logistics metrics for common medical material in support Navy Expeditionary Combat Command (NECC).

B. APPLICABLE PUBLICATIONS AND DOCUMENTS

OPNAV 4790/85 (REV. 9-97) (MIL-PRF-27210J) (6521 018 MIP)

C. REQUIREMENTS

MEDCIF has a requirement for Oxygen Cylinder Hydro-Static Testing and Filling (as needed) of Navy-owned oxygen cylinders that will support the operation of the NECC Medical Force.

MEDCIF has approximately 850 O2 Canisters that require annual hydro-static testing.

O2 Hydro-static Testing Services:

Provide the hydro-static testing of approximately 850 O2 canisters provided by the government.

Provide a sticker, stamp affixed to each O2 canister that indicates when the last testing was performed.

Vendor shall have the ability to provide filling of O2 canisters, as applicable, upon customer request.

o If this is requested, a contract modification or separate order will be required, and no work shall take place until this is complete or authorized by the Contracting Officer.

Vendor will be responsible for pickup and delivery of O2 canisters.

D. PERIOD OF PERFORMANCE/SCHEDULE

Period Dates Base Period 22 September 2025 – 21 September 2026

Option Period I 22 September 2026 – 21 September 2027 Option Period II 22 September 2027 – 21 September 2028 Option Period III 22 September 2028 – 21 September 2029 Option Period IV 22 September 2029 – 21 September 2030

The Navy estimates 212 O2 Canisters to be inspected quarterly within each option period. Firm dates will be discussed and agreed to by the vendor and TPOC upon issuance of the Purchase Order.

E. GOVERNMENT LOCATION

Naval Weapon Station, Cheatham Annex, Warehouse 8, C Street Williamsburg, VA 23185

F. SECURITY INFORMATION

All contractor equipment, personnel and vehicles are subject to inspection and search by US government security officials (or designated representatives) upon entry to any government owned and/or operated installations and facilities.

Contractor personnel shall comply with all local base/installation security procedures required to gain access to US Government ships, facilities and other assets.

If directed by US government security officials (or designated representatives), the contractor shall remove any equipment or personnel considered a security risk.

Government reserves the right to visit, inspect and travel with contractor assets that will be used in support of the requirement.

The contractor shall coordinate and comply with “all security requirements” regarding each personnel assigned to this project through the Government Technical Point of Contact.

G. Technical Point of Contact

Mr. Kyle Rossi N41 Medical Central Issue Facility Manager kyle.e.rossi.civ@us.navy.mil 1-564-226-8939

(End of Summary of Changes)