22Q0402 Amend 00001.pdf

1300993820

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 reason for this amendment is to reomve CLIN 0012, change the description of CLIN 0006, and to extend the quote submission date to 5 May 2022. The POC for this amendment is Jeff Bulthuis jeffrey.s.bulthuis.civ@us.navy.mil.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 02-May-2022

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 N0040622Q0402

X 9B. DATED (SEE ITEM 11)

18-Apr-2022

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

02-May-2022

CODE

NAVSUP FLC PUGET SOUND

467 W STREET, 2ND FLR

ATTN: JEFFREY BULTHUIS

BREMERTON WA 98314

N00406 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N0040622Q0402

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 25-Apr-2022 02:00 PM to 05-May-2022 02:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0006

The CLIN description has changed from FUEL OIL RING SC 63-600 to FIXED OIL RING SC 63-600.

CLIN 0012

The CLIN description has changed from HSJ HOSE FOR SC 71, DWG. REFERENCE 271 to Removed.

The CLIN extended description has changed from:

PN 200748170 MSC ACTION

DESCRIPTION N29003020754106

To:

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 0012 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

01-JUL-2022 1 N40443 MSC BATS SAN DIEGO

SEE PAGE 4 OF AWARD FOR DETAILS

9284 BALBOA AVE.

SAN DIEGO CA 92123

619-890-3057 FOB: Destination

N40443

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

N0040622Q0402

01-JUL-2022 0 N40443 MSC BATS SAN DIEGO

SEE PAGE 4 OF AWARD FOR DETAILS

9284 BALBOA AVE.

SAN DIEGO CA 92123

619-890-3057 FOB: Destination

N40443

(End of Summary of Changes)