N4523A-16-R-0021-0007.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

See summary of changes.

1. CONTRACT ID CODE PAGE OF PAGES

1 3

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

16C. DATE SIGNED

BY 10-Aug-2016

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 N4523A-16-R-0021

X 9B. DATED (SEE ITEM 11)

05-Jul-2016

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 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

10-Aug-2016

CODE

PUGET SOUND NAVAL SHIPYARD

1400 FARRAGUT

BREMERTON WA 98314

N4523A 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N4523A-16-R-0021

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

The following have been modified:

USS MAINE

The purpose of this amendment is to update Section J attachment J-3 and clarify administrative changes to amendments 0002 & 0004.

1. Section J Attch J-3 SOW has been revised, the below listed Schedule (SOW attachment E) items have been deleted from the schedule. Associated work items for these areas do not exist, these schedule items were never intended for this work package, reference Governement Q&A-01 response #38.

GP 109 DM RING - INSTALL CONTAINMENT

GP 109 SONAR DOME EXTERIOR - SSPC-SP 1 CLEAN

GP 109 DM RING - INSTALL BLAST PROTECTION

GP 109 DM RING - SP-6 BLAST

GP 109 REPAIRS FROM MRC-003 INSPECTIONS OF THE SONAR DOME BOLTING RING

GP 109 SP-10 BLAST DOME RING

GP 109 DM RING - PAINT

GP 109 DM RING - REMOVE CONTAINMENT

2. Administrative Clarification: Amendment 0002, block 11 (a) should be marked to indicate “returning 1 copies of the amendment”. Amendment 0004, block 11 should be marked to indicate “is not extented” and (a) should be marked to indicate “returning 1 copies of the amendment”.

3. All other terms and conditions remain unchanged.

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

LIST OF ATTACHMENTS/EXHIBITS

The following document(s) exhibits, and other attachment(s) form a part of this solicitation and will form a part of the contract resulting from this solicitation:

Attachment No. Description/File Name Date # of Pages

J-1 DD Form 254, Contract Security Classification 05JUL2016 2

Specification

J-2 Contract Data Requirements List, DD Form 1423 10AUG2016 56

J-3 Statement of Work Per item 449

J-4 Price Breakdown Spreadsheet 22JUL2016 2

J-5 Request for Proposal Q&A-01 22JUL2016 8

J-6 Request for Proposal Q&A-02 27JUL2016 1

(End of Summary of Changes)