N40085-14-R-2303_Amendment_0005.pdf

EXCEPT ION T O SF 30

30-105-04

ST ANDARD FORM 30 (Rev. 10-83)

APPROVED BY OIRM 11-84 Prescribed by GSA

FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

J

PAGE OF PAGES

1 2

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

08-Jan-2014

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

6. ISSUED BY CODE N40085 7. ADMINISTERED BY (If other than item 6) CODE

NAVFAC MID ATLANTIC

PWD NEW LONDON

BOX 26, BLDG 135

NAVAL SUBMARINE BASE NEW LONDON

GROTON CT 06349-5026

See Item 6

8. NAME AND ADDRESS OF CONT RACT OR (No., Street, County, State and Zip Code) X

9A. AMENDMENT OF SOLICIT AT ION NO.

N40085-14-R-2303

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

26-Nov-2013

10A. MOD. OF CONT RACT /ORDER NO.

10B. DAT ED (SEE IT EM 13)

CODE FACILIT Y CODE

11. T HIS IT EM ONLY APPLIES T O AMENDMENT S OF SOLICIT AT IONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer 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 P RIOR 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. ACCOUNT ING AND APPROPRIAT ION DAT A (If required)

13. T HIS IT EM APPLIES ONLY T O MODIFICAT IONS OF CONT RACT S/ORDERS.

IT MODIFIES T HE CONT RACT /ORDER NO. AS DESCRIBED IN IT EM 14.

A. T HIS CHANGE ORDER IS ISSUED PURSUANT T O: (Specify authority) T HE CHANGES SET FORT H IN IT EM 14 ARE MADE IN T HE

CONT RACT ORDER NO. IN IT EM 10A.

B. T HE ABOVE NUMBERED CONT RACT /ORDER IS MODIFIED T O REFLECT T HE ADMINIST RAT IVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORT H IN IT EM 14, PURSUANT T O T HE AUT HORIT Y OF FAR 43.103(B).

C. T HIS SUPPLEMENT AL AGREEMENT IS ENT ERED INT O PURSUANT T O AUT HORIT Y OF:

D. OT HER (Specify type of modification and authority)

E. IMPORT ANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPT ION OF AMENDMENT /MODIFICAT ION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this amendment is to correct Amendment 0004 on access information for Naval Undersea Warfare Center (NUWC).

All other information remains unchanged.

SEE CONTINUATION PAGE

15A. NAME AND T IT LE OF SIGNER (Type or print) 16A. NAME AND T IT LE OF CONT RACT ING OFFICER (Type or print)

TEL: EMAIL:

15B. CONT RACT OR/OFFEROR

(Signature of person authorized to sign)

15C. DAT E SIGNED 16B. UNIT ED ST AT ES OF AMERICA

BY

(Signature of Contracting Officer)

16C. DAT E SIGNED

08-Jan-2013

N40085-14-R-2303

SECTION SF 30 BLOCK14 CONTINUATION PAGE

SUMMARY OF CHANGES

A visit request must be FAXED to the NUWC Division Newport Security Division at 401-832-4396 on company letterhead five days prior to site visit containing the following information:

- Visitor's full name (Last, First, Middle Initial)

- Company or Organization Name - complete address, phone number, fax number & CAGE code

- Visitor's Social Security Number - This information is protected by the Privacy Act of 1974

- Visitor's Date of Birth and Place of Birth(city/state)

- Citizenship

- Individual's Level of Clearance Access - This information is verified using JPAS.

- Specific Date(s) of Visit (include the year)

- Technical Point of Contact (POC) at NUWC Division Newport (include name & phone number)

- Specific Purpose of Visit (include classification of visit)

- Contract number - for non-governmental activities

- Name, Title, and Signature of authorizing company official (may NOT be one of the listed visitors)

Please “cc” Mr. David Preston at david.preston@navy.mil with information without visitor’s social security numbers.

Reference page 15 and 16 (5. 6.) of solicitation N40085-14-R-2303.

(End of Summary of Changes) mailto:david.preston@navy.mil