N3904017Q0019_RFQ_Amendment_1.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 revise the Statement of Work and to correct the cover page to read this is NOT Small Business Set Aside.

1. CONTRACT ID CODE PAGE OF PAGES

1 2

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

16C. DATE SIGNED

BY 21-Sep-2017

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 N3904017Q0019

X 9B. DATED (SEE ITEM 11)

19-Sep-2017

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 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

21-Sep-2017

CODE

PORTSMOUTH NAVAL SHIPYARD

CODE 410

KITTERY ME 03904

N39040 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

miles.beaudoin@navy.milEMAIL:207-438-3881TEL:

MILES A BEAUDOIN / CONTRACTING OFFICER

N3904017Q0019

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The small business set aside applicable has been deleted.

SECTION C - DESCRIPTIONS AND SPECIFICATIONS

The following have been modified:

STATEMENT OF WORK

Line item 0001 in accordance with Attachment 1 Rev 1. Line item 0002 in accordance with Exhibit A and Attachment 1 to Exhibit A. See Section J for more information.

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Statement of Work 3 07-SEP-2017 to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Attachment 1_Rev1 3 21-SEP-2017

(End of Summary of Changes)

STATEMENT OF WORK

REV 1

1. SCOPE: This Statement of Work (SOW) shall cover the deliveries of liquid nitrogen to approximately ten (10) tanks located inside the Controlled Industrial Area (CIA) at the Portsmouth Naval Shipyard in Kittery, Maine 03904.

2. BACKGROUND:

2.1. Location: Controlled Industrial Area (CIA) at the Portsmouth Naval Shipyard in Kittery, Maine.

2.2. Shipyard Point of Contact: The point of contact for this work will be Kevin Paquin, 207-

438-1554.

3. REQUIREMENTS:

3.1. General: Unless indicated otherwise in this SOW, the Contractor shall provide all equipment, tools, materials/parts, and other items/services necessary to perform the work specified herein.

3.1.1. The Contractor shall provide Liquid Nitrogen which meets the following minimum specifications:

3.1.1.1. The contractor delivery truck shall be equipped with a minimum ten (10) feet of hose and minimum 200 PSI pump to accomplish the delivery.

3.1.1.2. Liquid Nitrogen shall meet the requirements of Type II, Grade A or B, in accordance with Commercial Item Description (CID) A-A-59155 (L/R).

3.1.1.3. Upon receipt of replenishment signals, the Contractor shall provide replenishment after no more than 24 hours.

3.1.1.4. The Contractor shall be responsible to deliver in between 8:00 am to

11:00 am, Monday through Friday. The approximate fill time will take a total of four (4) hours.

3.1.1.5. Emergency deliveries of nitrogen are completed within 24 hours of notification at no additional cost.

3.1.1.6. All delivery trucks shall be in first class working condition with complete connection and operating instructions.

3.1.1.7. Fills are required from 11/28/17 to 11/27/18 with two option years.

3.1.1.8. The Contractor shall provide a delivery slip to the point of contact at the end of each fill.

3.1.1.9. The Contractor shall be responsible for all costs to include delivery.

4. PLACE OF PERFORMANCE:

4.1. Multiple tanks located within the Controlled Industrial Area (CIA) the Portsmouth Naval Shipyard.

4.2. Liquid Nitrogen will be delivered by one delivery driver who is Green Badged, with two alternates. Deliveries will be made without an escort after the driver acquires a Green Badge.

4.3. Upon the first delivery of Liquid Nitrogen, the delivery drivers will be escorted around the CIA to learn the locations of the multiple tanks requiring fills.

5. PERIOD OF PERFORMANCE:

5.1. The Contractor shall provide deliveries of Liquid Nitrogen. Contract shall be awarded for one year and is to include a minimum of 85,000 Gallons of Nitrogen. Years two and three are optional.

6. SECURITY:

6.1. The tank locations are within the Controlled Industrial Area (CIA) of the Portsmouth Naval Shipyard. No person not known to be an American citizen of good standing and repute shall be eligible for access to Portsmouth Naval Shipyard. Proof of citizenship is required.

6.1.1. All delivery personnel shall obtain a Green Badge in order to fill nitrogen tanks without an escort.

6.1.2. Two forms of I.D. are required for Proof of Citizenship. All questions or concerns regarding this shall be directed to the Contracting Division, Code 410.

7. DELIVERABLES:

7.1. Responsibility For Inspection: The Government reserves the right to perform any inspections where deemed necessary to assure services conform to the aforementioned requirements.

7.2. The Contractor shall furnish a Material Safety Data Sheet in accordance with Exhibit A concurrently with the first delivery of the liquid nitrogen.

7.3. The contractor shall obtain approval of Certificate of Compliance (COC) from Portsmouth Naval Shipyard in accordance with ELIN A002 prior to making the first delivery of liquid nitrogen. The contractor shall submit the COC to the Contracting Division, Code 410.

7.4. Final Acceptance: Contractor shall provide a delivery slips to the point of contact at the end of each fill. Upon satisfactory completion of inspection in concurrence with the delivery slip, the authorized Government Representative (Portsmouth Naval Shipyard) will sign and forward the acceptance document(s) to the paying office.

8. MISCELLANEOUS:

8.1. Source Selection Criteria – The Contractor selected to perform this work shall have proven previous experience providing Nitrogen to Navy facilities to meet the aforementioned requirements. The Contractor shall also have a minimum of 15 years’ experience in the Nitrogen supply business.