FOUO C09.0 N4523A21R1052 UF-109 Solicitation Amendment 0002 15Jan2021.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:

Update pickup and delivery location by:

1) Changing Section 1.7.1 in the SOW from "Naval Facility in Bangor, WA" to "Puget Sound Naval Shipyard (PSNS) in Bremerton, WA"

2) Updating the Ship To Address in Section F of the solicitation from "Bangor Subbase Delta Pier" to "N4523A PSNS & IMF".

The proposal due date remains unchanged as 9 February 2021 at 10:00 AM PST.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY

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 N4523A21R1052

X 9B. DATED (SEE ITEM 11)

04-Jan-2021

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, 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.

U0002

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

15-Jan-2021

CODE

PUGET SOUND NAVAL SHIPYARD CODE 400

1400 FARRAGUT AVE MAIL STOP 2026

BREMERTON WA 98314-2026

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N4523A21R1052

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 13-MAY-2021 TO

05-AUG-2021

N/A BANGOR SUBBASE DELTA PIER

GOVERNMENT REPRESENTATIVE

1400 FARRAGUT AVE

BREMERTON WA 98314

FOB: Destination

N4523A

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 13-MAY-2021 TO

05-AUG-2021

N/A N4523A PSNS&IMF

GOVERNMENT REPRESENTATIVE

1400 FARRAGUT AVENUE

BREMERTON WA 98314

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

POP 13-MAY-2021 TO

05-AUG-2021

N/A BANGOR SUBBASE DELTA PIER

GOVERNMENT REPRESENTATIVE

1400 FARRAGUT AVE

BREMERTON WA 98314

CAGE

POP 13-MAY-2021 TO

05-AUG-2021

N/A N4523A PSNS&IMF

GOVERNMENT REPRESENTATIVE

1400 FARRAGUT AVENUE

BREMERTON WA 98314

The following Delivery Schedule item for CLIN 0003 has been changed from:

CAGE

POP 13-MAY-2021 TO

05-AUG-2021

N/A BANGOR SUBBASE DELTA PIER

GOVERNMENT REPRESENTATIVE

1400 FARRAGUT AVE

BREMERTON WA 98314

CAGE

POP 13-MAY-2021 TO

05-AUG-2021

N/A N4523A PSNS&IMF

GOVERNMENT REPRESENTATIVE

1400 FARRAGUT AVENUE

BREMERTON WA 98314

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

Any contract awarded as a result of this solicitation shall consist of the following sections of this solicitation, and the documents, exhibits, and attachments described below:

Part I The Schedule (Sections A through H) Part II Contract Clauses (Section I) Part III List of Documents, Exhibits and other Attachments (Section J) Part IV Representations and Instructions (Sections K through M)

Part IV of the solicitation will not be physically incorporated into the resulting contract. However, Section K, “Representations, Certifications and Other Statements of Offerors” will be retained in the contract file and acceptance of a proposal under this solicitation incorporates Section K by reference into the resultant contract (FAR 15.204-1(b)).

The following is a list of attachments to the Request for Proposal (RFP). Attachments J-1 and Exhibits A will be incorporated into the contract along with all references listed in section two (2) of the Statement of Work (SOW), digital copies of which are available upon contractor request. Attachments J-3 through J-7 are included for the purposes of the solicitation, but will not be incorporated into the resulting contract. Additionally, the contractor shall be responsible for the latest revisions of all references, specifications and standards in effect at time of proposal closing.

Number Title Number of

Pages Dated

Attachment J-1 FOUO C04.0 N4523A21R1052 UF-109 Attachment J-1 Statement of Work

FOUO C04.0 N4523A21R1052 UF-109 Attachment J-1 Updated Statement of Work

38 31 Mar 2020

14 Jan 2021

Attachment J-2 FOUO C04.0 N4523A21R1052 UF-109 Attachment J-2 Price Proposal Worksheet

1 N/A

Attachment J-3 FOUO C04.0 N4523A21R1052 UF-109 Attachment J-3 Request for Clarification (RFC) Form

1 N/A

Attachment J-4 FOUO C04.0 N4523A21R1052 UF-109 Attachment J-4 Contract Performance Data Sheet

2 N/A

Attachment J-5 FOUO C04.0 N4523A21R1052 UF-109 Attachment J-5 Corporate Experience Data Sheet

6 N/A

Attachment J-6 FOUO C04.0 N4523A21R1052 UF-109 Attachment J-6 Drawings Request

N/A N/A

Attachment J-7 FOUO C04.0 N4523A21R1052 UF-109 Attachment J-7 BAVR Instructions

1 Updated 13 Jan 2021

Exhibit A FOUO C04.0 N4523A21R1052 UF-109 Exhibit A CDRL's and DID's Request

N/A Various

NOTE 1:

"Attachment” means any documentation, appended to a contract or incorporated by reference, which does not establish a requirement for deliverables.

"Exhibit” means a document, referred to in a contract, which is attached and establishes requirements for verables.

(End of Summary of Changes)