N0025324Q0081 Amend 0004.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provi ded herei n, all t erms and condit ions of t he document refere nced in Item 9A or 10A, as heretofore change d, remai ns unchanged and in ful l force and effect .

15A. NAME AND TIT LE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

ST ANDARD FORM 30 (Rev. 10-83) Prescr ibed by GSA

FAR (48 CFR) 53.243

The purpose f or this amendment is to updated the Statement of Work (SOW).

1. CO NTRACT ID CODE P AGE OF P AGES

1 3

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

16C. DAT E SIGNED

BY 15-Jan-2025

16B. UNITED ST AT ES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contract ing Officer )(Signature of person authorized t o sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, Count y, Stat e and Zip Code) X N0025324Q0081

X 9B. DAT ED (SEE IT EM 11)

02-Dec-2024

10B. DAT ED (SEE IT EM 13)

9A. AMENDMENT OF SOLICITAT ION NO.

11. THIS IT EM ONLY APPLIES T O AMENDMENT S OF SOLICITATIONS

X The above numbered soli cit ati on i s amended as set forth in It em 14. The hour and date specified for rece ipt of Offer is ext ended, X is not extended.

Offer must acknowl edge rece ipt of t his amendment pri or to the hour and date specified in the sol ici tat ion or as amended by one of t he fol lowing methods:

(a) By compl eti ng Items 8 and 15, and returning 1 copi es of the amendment ; (b) By acknowledgi ng recei pt of thi s a mendment on each copy of t he offer submit ted;

or (c) By s epara te let ter or t elegram whi ch i ncludes a refe rence t o t he s olic ita tion and amendment numbers . FA ILURE OF YOU R A CKNOWLEDGMENT TO BE RECEIVED AT TH E P LACE D ESIGNATED FOR TH E RECEIPT OF OFFERS P RIO R TO THE HOUR AN D DATE SP ECIFIED MA Y RESULT IN

REJECTIO N OF YOUR OFFER. If by vir tue of thi s amendment you desire t o change an offer already submit ted, s uch c hange ma y be made by t ele gram or let ter, provided each t elegram or l ett er makes reference to the sol ici tat ion and this amendment , and is re ceived prior to the openi ng hour and dat e speci fi ed.

12. ACCOUNTING AND APPROPRIATION DAT A (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 FORT H IN ITEM 14 ARE MADE IN THE

CONT RACT ORDER NO. IN ITEM 10A.

B. T HE ABOVE NUMBERED CONT RACT /ORDER IS MODIFIED T O REFLECT THE ADMINIST RATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORT H IN ITEM 14, PURSUANT TO T HE AUTHORITY OF FAR 43.103(B).

C. T HIS SUPPLEMENT AL AGREEMENT IS ENT ERED INTO PURSUANT TO AUTHORITY OF:

D. OT HER (Specify type of modification and authorit y)

E. IMPORTANT: Contract or is not, is required to sign this document and return copies t o the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/cont ract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/ MODIFICATION NO. 5. P ROJECT NO .(If appli cable)

6. ISSUED BY

3. EFFECTIVE DATE

15-Jan-2025

CODE

NAVAL UNDERSEA WARFARE CENTER

ATTN: BROOK SMITH

BROOK.M.SMITH.CIV@US.NAVY.MIL

610 DOWELL STREET BLDG 206

KEYPORT WA 98346

N00253 7. AD MINISTERED BY (If other t han item 6)

4. REQUISITION/PU RCHASE REQ. NO.

CODE

See I tem 6

FACILITY CODECODE

kaci .j .c ampbel l.civ@us.navy.mi lEMAIL:360-315-0988TEL:

KACI J ADE CAMPBELL / CONTRACTING OFFICER

N0025324Q0081

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been modified:

STATEMENT OF WORK

1. Scope:

1.1 Background. To support the United States Navy customers’ demands, Naval Undersea

Warfare Center (NUWC) Division Keyport is seeking to contract with private party vendors to produce wiper ring assemblies.

1.2 Purpose. This statement of work (SOW) defines the scope of work required to produce, test, and deliver wiper ring assembly (P/N: 2064216) configuration for the United States (US) customers. The contractor shall provide all necessary facilities, resources, and management required to meet the production, test, and delivery requirements of the wiper ring assembly configuration.

2. References:

2.1 Wiper Ring Assembly 2064216 Revision L.

3. Requirements:

3.1 Contractor shall fabricate 10 each first article wiper ring assemblies in accordance with

(IAW) reference 2.1.

3.2 The Contractor will deliver first article wiper ring assemblies within 60 days of contract award.

3.3 First Articles: IC inspection. The government will inspect first articles to confirm dimensional requirements of reference 2.1.

3.3.1 The government will inspect first articles IAW Reference 2.1 within 60 days of receipt of material on NUWC Division Keyport.

3.3.2 If any units fail IC inspection, a Vendor Discrepancy Report (VDR), will be submitted and all units will be rejected by the Contracting Officer and returned for resolution.

3.3.3 Contractor will provide Certificate of Conformance (CDRL A001).

3.4 Production Lots:

3.4.1 The Contractor shall fabricate 1,000 each wiper ring assemblies in accordance with reference 2.1.

3.4.2 The Contractor will deliver 1,000 each wiper ring assemblies production quantity within 180 days or sooner after First Article Acceptance. First Article Acceptance and authorization of the Production Lot will be provided by the Contracting Officer via formal modification.

3.4.3 Contractor shall package material in accordance with industry standards.

3.4.4 Contractor will provide Certificate of Conformance (CDRL A001).

N0025324Q0081

3.4.5 The government will perform lot inspection IAW Reference 2.1, Note 11(C).

3.4.6 The government will inspect production lot quantities within 60 days of receipt of material on NUWC Division Keyport.

3.4.7 If any units fail IC inspection, a Vendor Discrepancy Report (VDR), will be submitted and all units will be rejected by the Contracting Officer and returned to the vendor for resolution.

3.5 Hazardous Material Requirements:

3.5.1 Contractor shall use EPOXY PASTE, ADEHSIVE, THERMAL SET P/N

2509019 IAW with refence 2.1

3.5.1.1 Source of Supply:

Cage Code: 33564 Manufacturer P/N: HYSOL EA 9359.3 Name and Address:

HANKEL CORPORATION

AEROSPACE GROUP 2850

WILLOW PASS RD

BAY POINT, CA 984565

3.6 Technical Points of Contact:

3.6.1 Technical Point of Contact (TPOC) is to be announced at time of award.

3.7 General Security Requirements

3.7.1 The requirements of this contract contain Covered Defense Information (CDI). Per

DFARS 253.204-7019, Notice of NIST SP 800-171 DoD Assessment Requirements, the National Institute of Standards and Technology (NIST) Special Publication (SP) 800- 171 applies to this procurement. The Offeror shall have a current (not more than three (3) years old), minimum Confidence Level assessment of BASIC.

3.7.2 The requirements of this contract contain export-controlled Controlled Unclassified Information (CUI). To access and view the drawings, technical requirements, and critical item specifications the Vendor shall be registered in the Defense Logistics Agency (DLA) Joint Certification Program (JCP). Vendor shall submit a copy of the approved DD Form 2345 via email to the Contract Specialist/Purchasing Agent listed as the point of contact. Instructions for filing a DD Form 2345 can be found at the following web address, https://www.dla.mil/HQ/LogisticsOperations/JCP/SpecificDD2345Instructions.aspx.

The contractor shall maintain a current Certification of eligibility from DLA, Joint Certification Office for access to export-controlled Controlled Unclassified Information (CUI).

3.7.3 Foreign Interests. Contractors with defined Foreign Interests (a Facility that is owned, controlled, or influenced by foreign interests) will ensure adherence to DoD and DON regulations, directives, and policies. Full disclosure to the Contracting Officer, and Security Contracting Officer is required.

(End of Summary of Changes)