AMEND 0001.pdf

ACQR5831102

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

OVERHAUL FREQUENCY CONVERTER No. 6 AT BUILDING 1805 IN THE U.S. COMMANDER FLEET ACTIVITIES, YOKOSUKA

See continuation Page 2.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 28-Nov-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 N4008423T0402

X 9B. DATED (SEE ITEM 11)

10-Nov-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 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

28-Nov-2022

CODE

NAVFAC FAR EAST

FEAD YOKOSUKA

PSC 473 BOX 13

FPO AP 96349-0013

N40084 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N4008423T0402

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SUMMARY OF CHANGES

The following have been added by full text:

1. The purpose of this amendment is to provide revised spec and technical drawings as per attached file.

2. The required response date/time remains unchanged, 12 December 2022, 10:30 AM.

SECTION SF 1449 - CONTINUATION SHEET

TABLE OF CONTENTS

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 4 REVISED SPEC &

DRAWINGS

28 28-NOV-2022

(End of Summary of Changes)

Section F Deliveries or Performance

0200000 - Management and Administration

Annex/ Spec Item

Form Attachment

Number Deliverable Title Date (s) of Submission

Distribution

Frequency Original

Copies (includin g original)

2.2.1.2 N/A Request to Work

Outside Government’s Regular Working Hours

At least four calendar days prior to requested day.

KO via

COR

1 As requested by Contractor.

2.3.1 N/A Request Pre-

Performance Conferences and Meetings

At least five working days prior to desired conference.

KO via

COR

1 Once after award.

2.3.1 N/A Sign-In Sheets and

Minutes

Within two working days. KO, COR and all attendees

1 As required.

2.3.1 N/A Final Revision of

Minutes

Within two working days. KO, COR and all attendees

1 As required.

2.3.4 N/A Permits and

Licenses

As a part of the QM plan before work commences.

KO via

COR

1 Once after award, when changed, and when requested by KO.

2.3.5 N/A Certificate of

Insurance

At least 30 calendar days prior to cancellation or material change in policy coverage.

KO 1 Once after award, and when insurance renewed.

2.3.8 N/A The Contractor’s

Invoicing

Any day on Monday through Friday except observed Federal holidays within Government regular working hour.

KO via

WAWF

1 Monthly.

2.6.1 N/A Plans of Action and

Milestones (POA&Ms)

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO, COR,

and

Command Security Manager

1 As required

2.6.1 N/A Cybersecurity

Incident

Immediately upon discovery during regular working hours and by 0800 the following work day for discoveries after regular working hours

KO, COR,

and

Command Security Manager

1 As required

2.6.4 N/A Scheduling and

Work Status Updates

Weekly, within 30 minutes of the inquiry during regular working hours, and by 08:00 the following work day for inquiries after regular working hours

KO and

1 As Specified

Item

Form Attachment

Number Deliverable Title Date (s) of Submission

Distribution

Frequency Original

Copies (includin g original)

2.6.4 N/A Work Schedules As a part of the QM plan

before work commences.

KO via

1 Once after award, when changed, and when requested by KO.

2.6.5 N/A Notification of any

Difficulty in Scheduling Work

By the end of each workday

KO and

COR

1 As required

2.6.6 N/A Status of

Deliverables

Within 30 minutes of the inquiry during regular working hours, and by 0800 the following work day for inquiries after regular working hours

KO and

COR

1 As required

2.6.7 N/A Request to Service

Interruptions

At least seven 15 calendar days in advance prior to the interruptions for the approval.

KO,

Affected tenants, and customer

1 When any Service Interruptions are required.

2.6.9.1

N/A Quality Management (QM) plan

Within 30 calendar days after award.

KO via

COR

1 Once after award and when requested by KO.

2.6.9.1 N/A Revised Quality

Management Plan

Within seven calendar days of changes.

KO and

COR

1 As specified

2.6.9.2 N/A QC Inspection File Within five calendar days

of completion/ termination of the contract.

KO and

COR

1 As specified

2.6.9.2 N/A Quality Inspection and

Surveillance Report File

After termination of the contract.

KO via

COR

1 Once after termination of the contract.

2.6.9.3 N/A Contractor Quality

Inspection and Surveillance Report

First work day of each month.

KO via

COR

1 Monthly or as required.

2.6.10 N/A Property

Management Plan

Submitted with the QM plan.

KO via

COR

1 Once after award, when changed, and when requested by KO.

2.6.12.1 N/A Mobilization/Phase-

In Plan

Within 15 calendar days after requested.

KO via

COR

1 When requested by KO.

2.6.12.2 N/A Demobilization/

Phase-Out Plan

Within 15 calendar days after requested.

KO via

COR

1 When requested by KO.

Item

Form Attachment

Number Deliverable Title Date (s) of Submission

Distribution

Frequency Original

Copies (includin g original)

2.7.1 N/A List of Key

Personnel Qualifications and Organizational Chart

As a part of the QM plan. KO via

COR

1 Once after award, when changed, and when requested by KO.

2.7.1.4, 2.10

N/A ECATTS Training Certificate

Submitted with the EPP. KO via

COR

1 Once after award, when changed, and when requested by KO.

2.7.2.6 N/A Proof of Legal

Residency

As a part of the QM plan. KO via

COR

1 Once after award, when changed, and when requested by KO.

2.7.3 N/A Service Contract

Reporting (SCR)

No later than 31 October KO and

COR

1 Annually for labor executed during the period of performance during each Government fiscal year (FY)

2.8.1 N/A Employee List As a part of the QM plan. KO via

COR

1 Once after award, when changed, and when requested by KO.

2.8.2 N/A Vehicle Insurance, Inspection Certificate

As a part of the QM plan. KO via

COR

1 Once after award, when changed, and when requested by KO.

2.8.3 N/A Passes and Badges Within 10 calendar days

of any changes in accordance with the policy of the Government Pass Office.

KO 1 Once after award and when changed.

2.8.8 N/A Personnel Security

Investigation (PSI), Fingerprint Card (FD87), and OF-306 Declaration for Federal Employment

Prior to employee access to sensitive unclassified information.

KO, COR,

and

Security Manager

1 As required

Item

Form Attachment

Number Deliverable Title Date (s) of Submission

Distribution

Frequency Original

Copies (includin g original)

2.8.9 N/A List of personnel

requiring access to and the justification for their access to Government IT, OT, and FRCS

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO, COR,

and

Security Manager

1 As required

2.9.2 J-0200000-

04.12

Accident Prevention Plan (APP)

Within 30 calendar days after award, and within seven calendar days of any change.

KO via

COR

1 Once after award, when changed, and when requested by KO.

2.9.3 J-0200000-

04.13

Activity Hazard Analysis report (AHA) for recurring work

As a part of the APP. KO via

COR

1 Once after award, when changed, and when requested by KO.

2.9.3 J-0200000-

04.13

Activity Hazard Analysis report (AHA) for non-recurring work and one (1) time work

At least two working days prior to start of work.

KO via

COR

1 Once after award, when changed, and when requested by KO.

2.9.4 N/A Compliance Plans, Programs, and Procedures

Together with the Accident Prevention Plan and within seven calendar days of and changes.

KO and

COR

1 As specified

2.9.4.7 N/A Control of

Hazardous Energy (lockout/tagout)

Within 30 calendar days after annual inspection.

KO and

COR

1 Annually

2.9.6 J-0200000-

04.2

Accident and Damage Reporting

(CIRS)

Within not later than four hours.

KO via

COR

1 When accident occurred.

2.9.6 J-0200000-

04.2

Weight Handling Equipment Accident Report

Within one calendar days of the accident.

KO via

COR

1 When accident occurred.

2.9.6 J-0200000-

04.2

Crane and Rigging Gear Near Miss Report

As soon as management becomes aware but not later than four hours

KO via

COR

1 When accident occurred.

2.9.6.2 J-0200000-

04.2

Initial Accident Reporting Notification Report

(CIRS)

Within not later than one hour after an accident or near miss occurred.

KO via

COR

1 When accident and near miss occurred.

2.9.6.2 J-0200000-

04.2

Follow-on Accident Reporting Notification Report

(CIRS)

Close of business the day of the accident, or if the accident occurs after hours, at start of business the following morning.

KO via

COR

1 When accident occurred.

Item

Form Attachment

Number Deliverable Title Date (s) of Submission

Distribution

Frequency Original

Copies (includin g original)

2.9.6.2 J-0200000-

04.2

Final Accident Reporting Notification Report

(CIRS)

Within 24 hours after completing the investigation of the accident.

KO via

COR

1 When accident occurred.

2.9.7 J-0200000-

04.4/ J-

0200000- 04.5

Hot work permit, Fire Usage Request

No later than five working days prior to the requested hot work date.

Fire Dept

/ COR

1 As required

2.9.8 J-0200000-

04.17

Monthly On-Site Labor Report

Within two calendar days following the end of month.

KO via

COR

1 Monthly.

2.9.9.1 N/A LSIO Citations and

Violations Corrective Action Report

Within 48 hours after receiving a citation.

KO via

COR

1 As required.

2.9.10 N/A Copy of the

Contractor Safety Inspection and Monitoring Report

As a part of the Monthly Summary Report.

KO via

COR

1 Monthly, as required.

2.9.11 N/A Safety Certifications As a part of the APP. KO via

COR

1 Once after award, and When certifications renewal.

2.10 N/A EMS Goals and

Policy Measurement Information

Within seven calendar days when requested.

KO via

COR

1 When requested by KO.

2.10.1.1 N/A Water Conservation

Plan

Within seven calendar days when requested.

KO via

COR

1 When requested by KO.

2.10.2 J-0200000-

04.11

Environmental Protection Plan

(EPP)

Within 30 calendar days after award, and within seven calendar days of any change.

KO via

COR

1 Once after award, and when changed.

2.10.2 N/A Flowchart Of

Industrial Waste Processing

As a part of the EPP. KO via

COR

1 Once after award, and when changed.

2.10.2.1 N/A Written Sampling

Plan

Prior to each sampling event.

KO via

COR

1 As required.

2.10.2.1 N/A Sampling Results Within 24 hours after

receipt of laboratory analysis

KO via

COR

1 As required.

2.10.2.3 J-0200000-

04.15

Solid Waste Management Report

Within three months after start of contract performance and annually by October 10th thereafter

KO and

COR

1 As specified

2.10.2.3 N/A Recycling Weight

Ticket Receipts

As Specified KO and

1 As required.

Item

Form Attachment

Number Deliverable Title Date (s) of Submission

Distribution

Frequency Original

Copies (includin g original)

2.10.2.4 N/A Waste Disposal

Manifest, (copy of slip-E)

Within 20 calendar days following the end of the month, after requested from previous month.

KO via

COR

1 When requested by KO, as required. Or When occurred.

2.10.2.4 J-0200000-

04.9

CFAY Solid Waste Tonnage Report

As a part of the EPP. KO via

COR

1 As required.

2.10.2.5 N/A Waste Stream

Determination

At least 30 calendar days prior to start of contract performance and within 14 days of identification of any new waste stream.

KO and

COR

1 As required

2.10.2.7 N/A Spill Report Within 48 hours of spill

occurrence

KO and

COR

1 As required

2.10.2.8 J-0200000-

04.16

Contractor Hazardous Material Inventory Log

As a part of the EPP. KO via

COR

1 As required.

2.10.2.12 N/A Asbestos Containing

Material (ACM)

Written notification within 24 hours of discovery

KO and

COR

2 As specified

2.10.2.13 J-0200000-

04.18

Hazardous Air Pollutant (HAP) Monthly Data

First work day of each month.

KO and

COR

1 As required

2.10.3 N/A Sustainable

Procurement and Practices Plan

As a part of the EPP. KO via

COR

1 Once after award and when changed.

2.10.3 N/A Sustainable Delivery

of Services Report

Within 30 calendar days after awarded.

KO via

COR

1 Once after award and when changed.

2.10.3.2 N/A Recovered Material

Certification

When a product containing recovered materials is equal to or better than the original and could be used for this contract.

KO via

COR

1 As required.

2.11 N/A Mission Essential

Contractor Services Plan

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO and

COR

1 As Required

2.11 N/A Mission

Critical/Mission Essential Personnel

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO and

COR

1 As specified

2.12 N/A Technical Library

Table of Contents

Within seven calendar days when any changed.

KO via

COR,

1 When changed or as requested.

2.15.1.1 N/A Non-Recurring

Work Quantities Report Ordered Via Fed-Mall

Within seven calendar days following the end of month.

KO via

Item

Form Attachment

Number Deliverable Title Date (s) of Submission

Distribution

Frequency Original

Copies (includin g original)

2.15.2.1 N/A Non-Recurring

Work Proposals

Submit a Non-Recurring Proposal to the KO within five 20 calendar days following receipt for each potential task order, or when requested by KO.

KO via

1602000 – Electrical

2.2.1 N/A Certification, Training and Licensing

As a part of the QM plan.

Or, As a part of non-price proposal and as a part the QM plan.

KO via

COR

1 Once after contract award.

3.1 N/A Monthly Summary

of Completed Service Orders Report

Within 15 calendar days after completion of service order work, during the previous month.

KO via

COR

1 Monthly or as required.

3.2 N/A Preventive

Maintenance (PM) Program Plan

As a part of QM plan. KO via

COR

1 Once after award, when changed, and when requested by

KO.

3.2 N/A Notification of

repair work exceeding the incidental repairs limit

Within <<Note to Spec Writer: Insert time, e.g., two hours, and change the instruction too>> of identification.

KO via

COR

1 When notified, or as required.

3.2 N/A Monthly PM Work

Schedule.

Within five (5) calendar days following the end of month.

KO via

COR

1 Monthly or as required.

3.2 N/A Monthly Summary

of Completed PM Work Report

Within 15 calendar days after completion of PM work, following the end of month.

KO via

COR

1 <<Note to Spec Writer:

select frequency as following:

Quarterly, monthly, Semiannually, annually.

3.End# N/A Detailed Breakdown Within <<Note to Spec Writer: select 15 or 30 calendar days after contract award.

KO 1 Once after award and when changed.

4.1 N/A Outline Onsite

Work Schedule

As a part of the QM plan. KO 1 Once after contract award.

4.1 N/A Fixed Onsite Work

Schedule

Within 90 calendar days after the date of award.

KO 1 Once after contract award and when requested by

KO.

4.1.1 N/A Result of Overhaul

Work Report

Within 30 calendar days after completion of onsite work.

KO 1 Once after completion of onsite work and when requested by

KO.

1503030 – Integrated Solid Waste Management

2.3.1 N/A Certification, Training and Licensing

As a part of non-price proposal and as a part of QM plan.

KO via

COR

1 Once, when states change or renewed, and when requested by

KO.

2.3.2.1 N/A Expected Processing

Plan

Within 15 calendar days after award

KO via

COR

1 Once after award and when changed.

2.3.X N/A Additional Safety Plan

Within 15 calendar days after the date of award for approval.

KO via

COR

Once after award and when changed.

2.3.X N/A Manifest

”SANNGYOUHAI

KIBUTSU

KANNRIHYOU”

Within 35 calendar days after the pickup RMW and Amalgam

FMD

through

KO

1 As required.

2.3.4 N/A Contractor’s

Technical Proposal

RFP closing date and required due date by KO.

KO 2 Once and requested by

KO.

2.3.X N/A License As a part of non-price proposal and as a part of QM plan.

KO 1 Once and when changed.

2.3.X N/A Segregation Plan As a part of non-price proposal and as a part of QM plan.

KO and KO via

COR

1 Once and when changed.

2.3.X N/A Waste Treatment Plan

As a part of non-price proposal and as a part of QM plan.

KO and KO via

COR

1 Once and when changed.

2.3.X N/A Management Plan As a part of non-price proposal and as a part of QM plan.

KO and KO via

COR

1 Once and when changed.

2.4.2 N/A Completion of

Transport

Within 10 calendar days following the end of the month.

Disposal Ticket.

(slip-B2 of manifest)

KO via

COR

1 Monthly.

2.4.3 N/A Completion of

Disposal

Within 10 calendar days following the end of the month.

Disposal Ticket.

(slip-D and E of manifest)

KO via

COR

1 Monthly.

3.1.1.3.1 N/A Unscheduled Bulky

Waste Collection

As a part of monthly report.

KO via

COR

1 Monthly.

3.1.2.3 N/A Hazardous Waste

Identification Report

As a part of monthly report.

KO via

COR

1 When discovered monthly.

3.6 N/A Monthly Report Within 15 calendar days

after previous end of month.

KO via

COR

1 Monthly.

3.7 N/A Detailed Breakdown Within 15 calendar days

after contract award.

KO 1 Once after award and when changed.

1503030 – Integrated Solid Waste Management

4.1.2 N/A Home Appliance

Recycling Tickets Within 15 calendar days following the end of the month. (Slip-3 of Home Appliance. Recycle Coupon.)

KO via

COR

1 Monthly.

4.3 N/A Daily Inspection and

Report Services

Submitted with the monthly report.

KO via

COR

1 When Non- Recurring order occurred.

3.3 and 3.4.3

N/A Copy of manifest slip D

The slip D shall be provided to waste generator within 90 calendar days.

KO via

COR

1 As required.

3.X N/A Monthly Report Within 15 calendar days after previous end of month.

KO via

COR

1 Monthly.

3.End# N/A Detailed Breakdown Within <<Note to Spec Writer: select 15 or 30 calendar days after contract award.

KO 1 Once after award and when changed.

4.1.X N/A Home Appliance Recycling Tickets

Within 15 calendar days following the end of the month. (Slip-3 of Home Appliance. Recycle Coupon.)

KO via

COR

1 Monthly.

4.1.X N/A Daily Inspection and Report Services

Submitted with the monthly report.

KO via

COR

1 When occurred.

4.1.X N/A Damper of Dumpster Inspection and Report Services

Submitted with the monthly report.

KO via

COR

1 When occurred.

1604000 - Wastewater

2.2.1 N/A Certification, Training and Licensing

As a part of the QM plan. KO via

COR

1 Once after contract award.

3.1.3 N/A Monthly Summary

of Operating Records, Logs, and Reports

Within 15 days following the end of month.

KO via

COR

1 Monthly.

3.2 N/A Prescriptive

Maintenance (PM) Program Plan

As a part of the QM plan. KO via

COR

1 Once after contract award.

3.2 N/A Monthly PM work

schedule

Within 15 days following the end of month.

KO via

COR

1 Monthly.

3.End# N/A Detailed Breakdown Within <<Note to Spec Writer: select 15 or 30 calendar days after contract award.

KO 1 Once after award and when changed.

1) All Contractor’s deliverables shall be submitted via email and each data file size shall be less than 10M bytes

2) The Contractor is responsible to re-submit and provide corrections for all deliverables that do not meet contract requirements at no additional cost to the Government.

0200000 Deliverables Form Preparation Instructions

Deliverable Title: Quality Management (QM) Plan.

The following will be delivered as part of the QM Plan: Quality Management System Pre-Performance Review Checklist, Permits and Licenses, Property Management Plan, List of Key Personnel Qualifications, Organizational Chart, Proof of Legal Residency, Employee List, Vehicle Insurance and Inspection Certificate, and Preventive Maintenance (PM) Program Plan, and Monthly PM Work Schedule.

Form Attachment No.: J-0200000-04.1, but not limited to.

Government Approval Required: X Yes ___ No

Media:

Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software and shall be converted to Adobe PDF for submission. Unless otherwise specified in the Annex, the QM Plan deliverables shall be delivered using the following method

1- QM Plan will be sent via email as PDF attachment to the contracting Officer (KO) and Contracting Officer Representative (COR) if it’s under 10 M bytes.

2- QM Plan PDF files over 10M bytes shall be saved on CD/DVD media and delivered to the Contracting Officer (KO) via the Contracting Officer Representative (COR).

3- The Contractor is subject to deliver any additional information as requested by the contracting officer in a form mentioned in 1 and 2 above.

4- The QM Plan will be provided to the Government once after the award and every time there is any changes in the QM Plan. The QM Plan will also be provided to the government when requested by the contracting officer or the Contracting Officer Representative.

5- The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting; and mark deliverables/submittal in accordance with DoDI 5200.48 Controlled Unclassified Information (CUI)(March 6, 2020).

Deliverable Title: Accident Prevention Plan (APP).

The following will be delivered as part of the APP: Activity Hazard Analysis Report (AHA), and Safety certification.

Form Attachment No.: J-0200000-04.11

Government Approval Required: X Yes ___ No

Media:

PDF for submission. Unless otherwise specified in the Annex, the APP deliverables shall be delivered using the following method

1- APP will be sent via email as PDF attachment to the contracting Officer (KO) and Contracting Officer Representative (COR) if it’s under 10 M bytes.

2- APP PDF files over 10M bytes shall be saved on CD/DVD media and delivered to the Contracting Officer (KO) via the Contracting Officer Representative (COR).

3- The Contractor is subject to deliver any additional information as requested by the contracting officer in a form mentioned in 1 and 2 above.

4- The APP will be provided to the Government once after the award and every time there are any changes in the APP. The APP will also be provided to the government when requested by the contracting officer or the Contracting Officer Representative.

5- The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and

Deliverable Title: Environmental Protection Plan (EPP).

The following will be delivered as part of the EPP: Flowcharts of industrial waste including manifest and ECATTS Training Certificates.

Form Attachment No.: J-0200000-04.10

Government Approval Required: X Yes ___ No

Media:

PDF for submission. Unless otherwise specified in the Annex, the EPP deliverables shall be delivered using the following method

1- EPP will be sent via email as PDF attachment to the contracting Officer (KO) and Contracting Officer Representative (COR) if it’s under 10 M bytes.

2- EPP PDF files over 10M bytes shall be saved on CD/DVD media and delivered to the Contracting Officer (KO) via the Contracting Officer Representative (COR).

3- The Contractor is subject to deliver any additional information as requested by the contracting officer in a form mentioned in 1 and 2 above.

4- EPP Shall be provided by the contractor within the specified time flame mentioned on the corresponding deliverable title/dates of submission in the table at the beginning of section F.

5- The EPP will be provided to the Government once after the award and every time there is any changes in the EPP. The EPP will also be provided to the government when requested by the contracting officer or the Contracting Officer Representative.

6- The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and

Deliverable Title: Monthly Reports.

The following will be delivered as part of required Monthly Reports: Monthly PM Work Schedule (five (5) calendar days before scheduled month), Quality Inspection and Surveillance Report (As part of the completed Service Orders report), On-Site Labor Report (Within two (2) Calendar days following the end of the month) and Monthly Summary of Completed Service Orders Report (Within 15 Calendar days after completion of service work order during the previous month).

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media:

PDF for submission. Unless otherwise specified in the Annex, the monthly reports deliverables shall be delivered using the following method

1- Monthly reports will be sent via email as PDF attachment to the contracting Officer (KO) and Contracting Officer Representative (COR) if it’s under 10 M bytes.

2- Monthly PDF files over 10M bytes shall be saved on CD/DVD media and delivered to the Contracting Officer (KO) via the Contracting Officer Representative (COR).

3- The Contractor is subject to deliver any additional information as requested by the contracting officer in a form mentioned in 1 and 2 above.

4- Monthly Reports Shall be provided by the contractor within the specified time flame mentioned on the corresponding deliverable title/dates of submission in the table at the beginning of section F.

5- The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and

Deliverable Title: Quarterly Reports The following will be delivered as part of required Quarterly Reports: Contractors Invoicing (via WAWF) completion of Preventive Maintenance (PM) report.

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media:

PDF for submission. Unless otherwise specified in the Annex, the quarterly reports deliverables shall be delivered using the following method

1- Quarterly reports will be sent via email as PDF attachment to the contracting Officer (KO) and Contracting Officer Representative (COR) if it’s under 10 M bytes. The invoicing report will be pulled from WAWF by the Contracting officer and Contracting Officer Representative

2- Quarterly PDF files over 10M bytes shall be saved on CD/DVD media and delivered to the Contracting Officer (KO) via the Contracting Officer Representative (COR).

3- The Contractor is subject to deliver any additional information as requested by the contracting officer in a form mentioned in 1 and 2 above.

4- Quarterly Reports Shall be provided by the contractor within the specified time flame mentioned on the corresponding deliverable title/dates of submission in the table at the beginning of section F. The contracting officer (KO) or the Contracting officer representative (COR) may request additional information or clarification on the Invoicing report pulled from WAWF.

5- The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and

Deliverable Title: Accident and Damage Reporting (CIRS) The following will be delivered every time an accident or near miss occurs: Weight Handling Equipment Accident Report, Initial Accident Reporting Notification Report, Follow-on Accident Reporting Notification Report, and Final Accident Reporting Notification Report.

Form Attachment No.: J-0200000-04.2

Government Approval Required: X Yes ___ No

Media:

PDF for submission. Unless otherwise specified in the Annex, the CIRS reports deliverables shall be delivered using the following method

1- CIRS reports will be sent via email as PDF attachment to the contracting Officer (KO) and Contracting Officer Representative (COR) if it’s under 10 M bytes. The invoicing report will be pulled from WAWF by the Contracting officer and Contracting Officer Representative

2- CIRS PDF files over 10M bytes shall be saved on CD/DVD media and delivered to the Contracting Officer (KO) via the Contracting Officer Representative (COR).

3- The Contractor is subject to deliver any additional information as requested by the contracting officer in a form mentioned in 1 and 2 above.

4- CIRS Reports Shall be provided by the contractor within the specified time flame mentioned on the corresponding deliverable title/dates of submission in the table at the beginning of section F.

5- The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and

Deliverable Title: Important Notifications to The Contracting Officer (KO) The following notification will be made to the contracting officer: Notification to Exceed Recurring Work Limitations (Estimate), Non- Recurring work proposal and Service Interruptions, LSIO Citations and Violations Corrective Action Report and Request to work outside Government’s Regular Working hours.

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media:

PDF for submission. Unless otherwise specified in the Annex, the Important notification deliverables shall be delivered using the following method

1- Important notifications will be sent via email as PDF attachment to the Contracting Officer (KO) and Contracting Officer Representative (COR) if it’s under 10 M bytes.

2- Important notifications PDF files over 10M bytes shall be saved on CD/DVD media and delivered to the Contracting Officer (KO) via the Contracting Officer Representative (COR).

3- The Contractor is subject to deliver any additional information as requested by the contracting officer in a form mentioned in 1 and 2 above.

4- The contracting officer will be notified in writing within <<Note to Spec Writer: Insert time, e.g., one

(1) ~ 15 calendar days >>when the required repair work is expected to exceed the recurring work limits.

5- The contractor will submit a non-recurring work proposal to the KO within five (5) calendar days following receipt for each potential task order, or when requested by KO.

6- If the contractor expects to interrupt any services, they must request in writing a request Service interruption for approval within the specified time flame mentioned on the corresponding deliverable title/dates of submission in the table at the beginning of section F.

7- LSIO Citations and Violations Corrective action Report shall be reported to the KO via COR within 48 hours after receiving the citation.

8- The Contractor shall submit a request to work outside the regular working hours at least four (4) calendar days earlier than the scheduled work day.

9- The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and

Controlled Unclassified Information (CUI)(March 6, 2020)

Deliverable Title: Passes and Badges Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media:

Hard Copy X Electronic ___ Direct System Input

Instructions:

All contractors are required to request passes and Badges in accordance with the Government pass office. After the award the contractor can get information of obtaining badges under the following link.

http://cnic.navy.mil/regions/cnrj/installations/cfa_yokosuka/om/security/industrial_security.html

The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting; and mark deliverables/submittal in accordance with DoDI 5200.48 Controlled Unclassified Information (CUI)(March 6, 2020).

http://cnic.navy.mil/regions/cnrj/installations/cfa_yokosuka/om/security/industrial_security.html

Deliverable Title: Certificate of Insurance Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media:

Hard Copy X Electronic ___ Direct System Input

Instructions:

The Certificate of Insurance shall provide for at least 30 calendar days written notice to the KO by the insurance company prior to cancellation or material change in policy coverage. Other requirements and information are contained in the aforementioned insurance clause.

The certificate of insurance shall include contract number, contract title.

The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting; and mark deliverables/submittal in accordance with DoDI 5200.48 Controlled Unclassified Information (CUI)(March 6, 2020).

Deliverable Title: Quality Inspection and Surveillance Report Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media:

Hard Copy X Electronic ___ Direct System Input

Instructions:

1. The Contractor shall submit the following, but not limited to, actual accumulated records by each equipment and actual inventories.

a). Major repair (Over FFP limit) records.

b). Minor repair (Under FFP limit) records.

c). Actual inventories shall be filled out in the blank portion and/or unknown portion of a provided list.

2. Records shall be specified by the following, but not limited to, items stored in Word and/or Excel Software.

a). Year / Date b). Bldg. No.

c). Project title d). Performance of work.

e). Consumption material cost and abor hours.

3. The Contractor shall comply with FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems and DFARS 252-204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting; and mark deliverables/submittal in accordance with DoDI 5200.48 Controlled Unclassified Information (CUI)(March 6, 2020).

N o.

FC

ATTACHMENT J-1602000-04

DETAIL SITE PLANS AND OVERHAUL REQUIREMENT FOR No.6 FC

CUI // FEDCON

CUI // FEDCON

Tsutomu.Toriyama.JA Rectangle

Tsutomu.Toriyama.JA Line

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Text Box FC#6 High and Low Voltage Panels

Atsuo.Oosugi.JA Text Box

D-BUS

TIE TR No.1 2000KVA

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Text Box Replace Cable

Tsutomu.Toriyama.JA Line

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Polygonal Line

Tsutomu.Toriyama.JA Oval

Tsutomu.Toriyama.JA Oval

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Text Box To 2F

Atsuo.Oosugi.JA Text Box To 2F

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Rectangle

Atsuo.Oosugi.JA Text Box Replace Cable

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Text Box To 2F

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Polygonal Line

Tsutomu.Toriyama.JA Oval

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Text Box Replace Cable

Tsutomu.Toriyama.JA Line

CUI // FEDCON

ATTACHMENT J-1602000-04

DETAIL SITE PLANS AND OVERHAUL REQUIREMENT FOR No.6 FC

ATTACHMENT J-1602000-04

DETAIL SITE PLANS AND OVERHAUL REQUIREMENT FOR No.6 FC

ATTACHMENT J-1602000-04

DETAIL SITE PLANS AND OVERHAUL REQUIREMENT FOR No.6 FC

ATTACHMENT J-1602000-04

DETAIL SITE PLANS AND OVERHAUL REQUIREMENT FOR No.6 FC

CUI // FEDCON

CUI // FEDCON

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Polygonal Line

Atsuo.Oosugi.JA Text Box Replace Cable

Atsuo.Oosugi.JA Text Box Replace Cable

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Text Box Replace Cable

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Text Box Replace Cable

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Text Box Replace Cable

Atsuo.Oosugi.JA Line

Atsuo.Oosugi.JA Rectangle

Atsuo.Oosugi.JA Rectangle

Atsuo.Oosugi.JA Rectangle

Atsuo.Oosugi.JA Rectangle

Atsuo.Oosugi.JA Rectangle

Atsuo.Oosugi.JA Rectangle

Atsuo.Oosugi.JA Text Box To 1F

Atsuo.Oosugi.JA Text Box To 1F

Atsuo.Oosugi.JA Text Box To 1F

Tsutomu.Toriyama.JA Oval

Tsutomu.Toriyama.JA Oval

Tsutomu.Toriyama.JA Oval

Overhaul (OH)

OH

ATTACHMENT J-1602000-04

DETAIL SITE PLANS AND OVERHAUL REQUIREMENT FOR No.6 FC

CUI // FEDCON

CUI // FEDCON

Tsutomu.Toriyama.JA Line

Tsutomu.Toriyama.JA Line

Tsutomu.Toriyama.JA Line

米海軍横須賀基地 殿／TO FEAD, YOKOSUKA

Ｎｏ．６ ＦＣ工場持込整備仕様／Scope of work for factory repairing No.6 FC

各部位の推奨整備仕様は下記の通りです。

Recommended scope of work as below

同期電動機／Synchronous Motor (SM)

同期発電機／Synchronous Generator (SG)

補機／Associated equipment

対象／Subject 整備内容／Type of Repair Peplace Parts/

交換部品

June 22, 2020

固定子 Stator

一式更新 Overall replace

・固定子フレーム/Stator frame ・固定子コイル /Stator coil ・固定子鉄心 /Stator iron core

回転子 Rotor

コイル巻き替え Rewind the coil

・回転子コイル /Rotor coil

ACエキサイター

AC Exciter

固定子・回転子更新 Replace the stator and rotor

・固定子フレーム /Stator frame ・固定子コイル /Stator coil ・固定子鉄心 /Stator iron core ・回転子コイル /Rotor coil ・回転子鉄心 /Rotor iron core

整流器 Rectifier

一式更新 Overall replace

・整流器 /Rectifier

永久磁石同期電動機 Permanent Magnet Syncronous Motor

固定子コイル巻き替え Rewind coil for the stator

・固定子コイル /Stator coil

試験 Commissioning

工場内SM/SG組合わせ試験・工場内単体試験、現地試運転

SM/SG synchronizing and unit test at factory, on-site operation test

軸受メタル Bearing metal

一式更新(含温度計) Overall replace(incl. Thermometer)

・軸受メタル /Bearing metal

対象／Subject 整備内容／Type of Repair Peplace Parts/

交換部品

対象／Subject 整備内容／Type of Repair Peplace Parts/

交換部品

転動装置 Turning motor

電動機更新（ｶｯﾌﾟﾘﾝｸﾞ部分は不含）・位置検出機(セルシン モーター)更新・減速機オーバーホール

Replace the motor (not incl. coupling point), Replace the Position detector(Selsyn motor), Overhaul of Decelerator.

・電動機 / Motor

固定子 Stator

インナー更新 Replace the inner

・インナーフレーム/Inner frame ・回転子コイル /Rotor coil ・回転子鉄心 /Rotor iron core ・スペースヒーター/Space Heater

回転子 Rotor

コイル巻き替え Rewind the coil

・回転子コイル /Rotor coil

試験 Commissioning

工場内単体試験、現地試運転 Unit test at factory, on-site operation test

ACエキサイター

AC Exciter

固定子・回転子更新 Replace the stator and rotor

・固定子フレーム /Stator frame ・固定子コイル /Stator coil ・固定子鉄心 /Stator iron core ・回転子コイル /Rotor coil ・回転子鉄心 /Rotor iron core

整流器 Rectifier

一式更新 Overall replace

・整流器 /Rectifier

同期発電機

SYN.GEN

同期電動機

SYN.MOT

５

軸受台 PMG

整

流

器 軸受台

整

流

器 軸受台 E

X

E X

７ ８

AC Exciter

Rectifier

Rectifier

転動装置 Turning motor

Permanent Magnet Synchronous MotorAC Exciter

CUI // FEDCON

CUI // FEDCON

ATTACHMENT J-1602000-04

DETAIL SITE PLANS AND OVERHAUL REQUIREMENT FOR No.6 FC

CUI // FEDCON

CUI // FEDCON

Tsutomu.Toriyama.JA Rectangle

Tsutomu.Toriyama.JA Rectangle

Rectangle