3.03_Amendment(1)_24192-0035.PDF

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE Prescribed by GSA

FAR (48 CFR) 53.243

STANDARD FORM 30 (REV. 10-83)

(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 ACKNOWLEDG- MENT 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.

30-105

(If required)

Offers 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:

tended.

is not ex-is extended,

12. ACCOUNTING AND APPROPRIATION DATA

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)14. DESCRIPTION OF AMENDMENT/MODIFICATION appropriation date, etc.)

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

(Signature of Contracting Officer)

(Specify authority)

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

10A. MODIFICATION OF CONTRACT/ORDER NO.

(SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.(No., street, county, State and Zip Code)8. NAME AND ADDRESS OF CONTRACTOR

6. ISSUED BY

PAGE OF PAGES1. CONTRACT ID CODE

3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO.

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

IN ITEM 10A.

THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

(such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

(Specify type of modification and authority)D. OTHER

BY(Signature of person authorized to sign)

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.

CODE FACILITY CODE

CODECODE

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

16B. UNITED STATES OF AMERICA

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

15B. CONTRACTOR/OFFEROR

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

(SEE ITEM 13)

(If applicable)5. PROJECT NO.4. REQUISITION/PURCHASE REQ. NO.

7. ADMINISTERED BY (If other than Item 6)

16C. DATE SIGNED15C. DATE SIGNED

Contractor is not, is required to sign this document and return ____ copies to the issuing office.

10B. DATED

9B. DATED

E. IMPORTANT:

1 3

0001 2024 SEP 17 24192-0035

N00383

NAVSUP WEAPON SYSTEMS SUPPORT

PHILADELPHIA

700 ROBBINS AVENUE

PHILADELPHIA, PA 19111-5098

CREATOR OFC CD: N792.06

N00383-24-Q-C532

X

2024 AUG 29

X X

SEE NEXT PAGE

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

N00383-24-Q-C532 AMEND: 0001 2 3

0001AA QUANTITY IS CHANGED FROM 3 EA TO 20 EA

CLIN 0001AB IS CANCELLED IN ITS ENTIRETY

CLIN 0003 IS INCORPORATED

0003 NSN 7RH 6210-01-601-0265 EY

NRP,ELEVATION SERVO SHELF LIFE 0-00

FOR REFERENCE ONLY

A0461 3995AS1210-1

HM QUP ICQ PMT CD PM WM CUD CT UC LP IC UCL SP MK PACK UNIT PKWT UNIT PKCU OPI

N 001 000 31 1 00 EA BG B EC A 00 O 00 EQQ 0.0 0.000 M

PACKAGING IS IN ACCORDANCE WITH MIL-STD-2073

THIS IS AN ALRE FLIGHT CRITICAL APPLICATION ITEM DISREGARD QUALITY ASSURANCE

REMARKS ON DRAWING. REFER TO CONTRACT. FOR DRAWING UPDATES, SEE ATTACHED NAWC

LKE DRAWING UPDATE SHEET.

NAVICP REFERENCE ONLY: TDR 23-10016.

THE COMPONENTS BEING ACQUIRED UNDER THIS SOLICITATION HAVE BEEN CLASSIFIED AS

"CRITICAL" REQUIRING ENGINEERING SOURCE APPROVAL BY THE NAVAL AIR SYSTEMS

COMMAND. ONLY THOSE COMPANIES WHO HAVE SUBMITTED REQUESTS FOR SOURCE APPROVAL

AND BEEN APPROVED WILL BE ELIGIBLE FOR AWARD UNDER THIS SOLICITATION ANY

COMPANY NOT PREVIOUSLY APPROVED MAY SUBMIT A SOURCE APPROVAL REQUEST AS

OUTLINED LATER IN THIS SOLICITATION.

All records pertaining to ALRE CAI manufacture and inspection/test shall be provided to the ALRE Cognizant Technical Authority. All records shall be maintained by LKE QA and by the manufacturer for a period of seven years.

This overhaul/repair TDR is requiring the submission of data covering all partscomponents and assemblies, including material certifications, non-destructiveinspection process data, welding procedures/qualifications;

this applies onlyto new, replaced components and assemblies identified on the drawing as CAI/CSIand used in the recertification of the part- CAI/CSI and all traceabilityrequirements do not apply to any existing asset or components containedwithin.

SHIP TO

0003AA N00383-24-X-1913 W25G1U 2 EA

Receiving Officer, W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND, PA 17070-5002

TP: 3

PAGES

OFPAGEREFERENCE NO. OF DOCUMENT BEING CONTINUED

NAME OF OFFEROR OR CONTRACTOR

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

N00383-24-Q-C532 AMEND: 0001 3 3

0003AB N00383-24-X-1913 W62G2T 2 EA

Receiving Officer, W1A8 DLA DIST SAN JOAQUIN

25600 S CHRISMAN ROAD

REC WHSE 57

TRACY, CA 95304-5000

TP: 3