N6572622Q0006-0004.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 the amendment is to add not separately priced contract line items 1001, 1002, and 1003 to accomodate Contract Data Requirements Lists (CDRLs) A001 and A002 and extend the solicitation deadline to 22 June 2022 at 1:00PM EDT.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 16-Jun-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 N6572622Q0006

X 9B. DATED (SEE ITEM 11)

06-Jun-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 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

15-Jun-2022

CODE

NAVAL SEA LOGISTICS CENTER

5450 CARLISLE PIKE

BLDG. 307

MECHANICSBURG PA 17055-0795

N65726 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6572622Q0006

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 16-Jun-2022 01:00 PM to 22-Jun-

2022 01:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 1001 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

CLIN

Number

1 Lot

Contract Data Requirements List

FFP

Data in accordance with Attachment 1 and Attachment 2, A001 and A002:

Contract Data Requirements Lists (Not Separately Priced).

FOB: Destination

PSC CD: U009

NET AMT

CLIN 1002 is added as follows:

OPTION Contract Data Requirements List

FFP

Data in accordance with Attachment 1 and Attachment 2, A001 and A002:

Contract Data Requirements Lists (Not Separately Priced).

CLIN 1003 is added as follows:

OPTION Contract Data Requirements List

FFP

Data in accordance with Attachment 1 and Attachment 2, A001 and A002:

Contract Data Requirements Lists (Not Separately Priced).

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for CLIN 1001 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 03-JUN-2022 TO

30-APR-2023

N/A NAVAL SEA LOGISTICS CENTER

JON KUGLER

5450 CARLISLE PIKE

BLDG. 307

MECHANICSBURG PA 17055-0795

(717) 605-3820

N65726

The following Delivery Schedule for CLIN 1002 has been added:

CAGE

POP 01-MAY-2023 TO

30-APR-2024

N/A NAVAL SEA LOGISTICS CENTER

JON KUGLER

5450 CARLISLE PIKE

BLDG. 307

MECHANICSBURG PA 17055-0795

(717) 605-3820

The following Delivery Schedule for CLIN 1003 has been added:

CAGE

POP 01-MAY-2024 TO

30-APR-2025

N/A NAVAL SEA LOGISTICS CENTER

JON KUGLER

5450 CARLISLE PIKE

BLDG. 307

MECHANICSBURG PA 17055-0795

(717) 605-3820

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 1001:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 1002:

The following Acceptance/Inspection Schedule was added for CLIN 1003:

(End of Summary of Changes)