Amendment_N64267-17-T-0028.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 add the line item 1004 and to extend the offer due date to 06 Feb 2017.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 02-Feb-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 N64267-17-T-0028

X 9B. DATED (SEE ITEM 11)

23-Jan-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 X 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 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

02-Feb-2017

CODE

NAVAL SURFACE WARFARE CENTER CORONA DIV.

1999 FOURTH STREET BLDG 523

NORCO CA 92860

N64267 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N64267-17-T-0028

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The set aside percentage 100.00% has been deleted.

The required response date/time has changed from 27-Jan-2017 12:00 PM to 06-Feb-2017 12:00 AM.

The Acquisition Set Aside has changed from Small Business to No Preference / Not Listed.

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0005

The option status has changed from Option to No Status.

CLIN 1005

This CLIN has been renumbered to CLIN 1004.

The CLIN description has changed from Travel Accomodations to Annual Site Fee.

CLIN 2001

This CLIN has been renumbered to CLIN 1005.

The CLIN description has changed from Preparation Report Fee to Travel Accomodations.

The CLIN extended description has changed from:

Option Year 2

To:

Option Year 1.

CLIN 2002

This CLIN has been renumbered to CLIN 2001.

The CLIN description has changed from Document Review to Preparation Report Fee.

CLIN 2003

This CLIN has been renumbered to CLIN 2002.

The CLIN description has changed from Site Surveillance Assessment to Document Review.

CLIN 2004

This CLIN has been renumbered to CLIN 2003.

The CLIN description has changed from Annual Site Fee to Site Surveillance Assessment.

N64267-17-T-0028

CLIN 2005

This CLIN has been renumbered to CLIN 2004.

The CLIN description has changed from Travel Accomodations to Annual Site Fee.

CLIN 2005 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2005 1 Each OPTION Travel Accomodations

FFP

Option Year 2 FOB: Destination

NET AMT

SECTION E - INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 2005:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule Item has been deleted from CLIN 2005:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

30 dys. ADC 1 NAVAL SURFACE WARFARE CENTER

TBD

1999 FOURTH ST BUILDING 204

NORCO CA 92860

951-393-4760 FOB: Destination

N64267

(End of Summary of Changes)