N0025318Q0046_Test_Cables_Amend_4.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 add Government Furnished Material (GFM) in support of Contract Line Item Numbers 0004 and 0005 (CLINs). GFM for these CLINs is documented under GFP Attachment 1. Detailed item desription can be found w ithin the attachment. GFP Notes are also provided. The closing date w ill be extended until 06/29/18.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 25-Jun-2018

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 N0025318Q0046

X 9B. DATED (SEE ITEM 11)

09-May-2018

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

25-Jun-2018

CODE

NAVAL UNDERSEA WARFARE CENTER

ATTN: MELISSA REMIGIO

MELISSA.REMIGIO@NAVY.MIL

610 DOWELL ST BLDG 206

KEYPORT WA 98345-7610

N00253 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N0025318Q0046

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

GFM NOTES CLINS 004 AND 0005

GFP NOTES:

CLINs 0004 and 0005

1. The following will be provided as Government Furnished Property (GFP) with corresponding replacement value as shown in the attachment 1.

Connector Body Plug, Part No. SD110945-51, Quantty 2 each (CLIN 0004) Contact Electrical, Part No. 031-1254-000, Quantity 2 each (CLIN 0004) Contact, Electrical, Part No. 031-1250-000, Quantity 264 each (CLIN 0004) Contact, Electrical, Part No. 031-1251-000, Quantity 10 each (CLIN 0004)

Connector Body, Receptable, Part No. SD110946-51, Quantity 2 each (CLIN 0005) Contact, Electrical, Part No. 030-2183-000, Quantity 16 each (CLIN 0005) Contact, Electrical, Part No. 030-2175-000, Quantity 264 each (CLIN 0005) Contact, Electrical, Part No. 030-2177-000, Quanttiy 10 each (CLIN 0005)

2. Delivery of GFP will be made available by Naval Undersea Warfare Center (NUWC) Keyport

Technical POC (TPOC): ________(TBD). TPOC will notify vendor a week before shipment dated of GFP. Contractor will conform to the requirement and ship back the GFP.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 21-Jun-2018 02:00 PM to 29-Jun-2018 02:00 PM.

(End of Summary of Changes)

N0025318Q0046