N6660417Q349300001.pdf_.pdf

1300665320

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 PAGE 2.

1. CONTRACT ID CODE PAGE OF PAGES

1 3

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

16C. DATE SIGNED

BY 12-Sep-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 N6660417Q3493

X 9B. DATED (SEE ITEM 11)

08-Sep-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 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

12-Sep-2017

CODE

NAVAL UNDERSEA WARFARE CTR. DIV., NPT.

ROSEMARY E. SHUMAN, CODE 0223

CONTRACTS DEPARTMENT

1176 HOWELL STREET, BLDG. 1258

NEWPORT RI 02841

N66604 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6660417Q3493

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The following have been modified:

GENERAL INFORMATION

DISTRIBUTION

FILE, KR, NUWC 01/105, PI: TBD, TDAA: TBD

SCD: C

NUWCDIVNPT Control Number: 173493

NUWCDIVNPT Requisition Number(s): 1300665320

NUWCDIVNPT POC: Rosemary Shuman, Phone: (401) 832-7167, rosemary.shuman@navy.mil

PROPOSAL SUBMISSION:

Offerors shall submit proposals by electronic means rather than in accordance with the template proposal submission requirements on the cover of the SF-1449. All electronic submissions shall be sent to Rosemary Shuman at rosemary.shuman@navy.mil and must be received by the closing date and time located on the cover page of the SF-1449. Furthermore, a single electronic submission shall not exceed 5 megabytes. If this requires submission through multiple emails to send the complete proposal the first email shall include an accounting of each email to follow so the Government can determine it has a complete proposal. Proposal attachments must be in formats readable by Microsoft Office or Adobe PDF.

NOTE: In accordance with DFARS Clause 252.211-7003, the contractor shall provide a unique item identifier (UID) for all delivered items for which the Government’s unit acquisition cost is $5,000.00 or more. Payment will be via Wide Area Workflow.

AMENDMENT 0001:

The purpose of this amendment is to correct an administrative error in Section J – List of Documents, Exhibits, and Other Attachments to include the following attachments:

1. NUWCDIVNPT TAHE FACILITY VENDOR INFORMATION REQUEST

2. NUWCDIVNPT TAHE FACILITY QUALITY PROVISIONS

All other solicitation terms and conditions remain unchanged.

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The Table of Contents has changed from:

N6660417Q3493

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 EXHIBIT "A"

CONTRACT DATA

REQUIREMENTS LIST

2 08-SEP-2017

to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 EXHIBIT "A"

CONTRACT DATA

REQUIREMENTS LIST

2 08-SEP-2017

Attachment 3 TAHE FACILITY

QUALITY PROVISIONS

2 11-SEP-2017

Attachment 4 NUWCDIVNPT TAHE

FACILITY VENDOR

INFORMATION

REQUEST

2 11-SEP-2017

(End of Summary of Changes)

J:\LIBRARY\FORMS

FORM REV. 06/08/2009

REV. 06/08/2009

TAHE FACILITY

NAVSTA, BLDG. 6

NEWPORT, RI 02841

TAHE FACILITY QUALITY PROVISIONS

RECEIPT INSPECTION REPORT

PART NOMENCLATURE / PART NUMBER / QUANTITY

*Plug (P/N: P04257900) QTY: 15 *Plug (P/N: P04257900) QTY: 12 *Hex Head Screw (P/N: U80002704) QTY: 100 *Hex Head Screw (P/N: U80002708) QTY: 100 *O-Ring (P/N: U80009436) QTY: 100 *Spherical Roller Bearing (P/N: (U80028925) QTY: 4 *Taper Roller Bearing (U80029416) QTY: 2 *Piston Back Up Washer (P/N: U80058501) QTY: 10 *Glydring (P/N: U80106201) QTY: 18 *Hex Head Screw (P/N: U80002705) QTY: 200 *Hex Head Screw (P/N: U80002606) QTY: 100 *C'Sk Head Screw (Socket) (P/N: U80005732) QTY: 100 *Washer (P/N: U80106100) QTY: 100 *Hyd Motor Mk8 Ser 0.8 HMB (Shaft Kit of Parts) (P/N: P05829600/KO P1) QTY: 1 *Hyd Motor Mk8 Ser 0.8 HMB (Rotor Kit of Parts) (P/N: P05829600/KO P2) QTY: 1 *Hyd Motor Mk8 Ser 0.8 HMB (Face Valve Kit of Parts) (P/N: P05829600/KO P3) QTY: 1 *Hyd Motor Ser 90HMA (Shaft Kit of Parts) (P/N: P05829500/KO P1) QTY: 1 *Hyd Motor Ser 90HMA (Rotor Kit of Parts) (P/N: P05829500/KO P2) QTY: 1 *Hyd Motor Ser 90HMA (Face Valve Kit of Parts) (P/N: P05829500/KO P3) QTY: 1

REV

SOURCE:

MACTAGGART-SCOTT

S/N:

N/A

CONTRACT:

N66604-

PURCHASE ORDER: PURCHASE REQUEST: WORK ORDER:

W02690

OUTSIDE SERVICES SOW: TRAVELER:

QTY RECEIVED

SAMPLE SIZE**

AQL

CHARACTERISTIC MEASURED / VERIFIED

FINDINGS

ACCEPT REJECT

DISPOSITION-REMARKS

THE FOLLOWING QUALITY

DOCUMENTATION / INFORMATION /

INSTRUCTIONS MUST BE PROVIDED /

ADHERED TO:

Certificate of Compliance that items were manufactured in accordance with all applicable instructions and specifications

Not Required - OEM

Mercury Free Statement: Mercury or mercury compounds shall not be intentionally added or come in direct contact with hardware or supplies furnished under this contract.

Required

(CDRL A001)

Material Identification must be in accordance with attached drawings/documentation. If not specified then identification must appear on external surfaces of items or packages.

Required

Certificate of Analysis of Raw Material stating that it meets the specifications identified.

Not Required

100% inspection is required by the vendor Not Required

Date of manufacture or cure date must be specified.

Each package or container must be identified with date of manufacture, batch number, specification number, and shelf life

Not Required

Process Certification that items were manufactured in accordance with special processes identified i.e., Welding, Post Weld Anneal, Painting

Not Required

Special packaging requirements Not Required

Test data to be provided Not Required First Article Inspection required Not Required

FORM REV. 06/08/2009

REV. 06/08/2009

SPECIAL INSTRUCTIONS/REMARKS/ENCLOSURES

VIR_W02690, RIR_QAP_W02690

**SAMPLING PERFORMED IN ACCORDANCE WITH ANSI/ASQZ1.4 GENERAL INSPECTION LEVEL II

TOTAL ACCEPTED

TOTAL REJECTED

INSPECTOR

DATE

Revision Date 7/21/16 1

NUWCDIVNPT TAHE FACILITY FAX 401.832.3937

NUWC, BLDG 6 NEWPORT, RI 02841 PHONE 401.832.3068

(REFER TO INSTRUCTIONS)

VENDOR INFORMATION REQUEST 1. VIR NO.:

2. SUPPLIER NAME AND ADDRESS

3. DATE

4. DATE DISPOSITION

REQUIRED

5. MATERIAL NOMENCLATURE

7. PART NUMBER

8. QUANTITY 9. SERIAL NUMBER

10. STATUS OF PART NOT STARTED IN-PROCESS COMPLETED

11. DESCRIPTION:

12. CAUSE OF NONCONFORMANCE:

13. RECOMMENDED CORRECTIVE ACTION:

14. RECOMMENDED DISPOSITION:

15. TECHNICAL JUSTIFICATION AND PURCHASER'S BENEFIT:

REPAIR COST:

REPLACEMENT COST:

16. DELIVERY IMPACT

IF DISAPPROVED, DELIVERY WILL BE: IF APPROVED, DELIVERY WILL BE:

THE VENDOR ACCEPTS FULL

RESPONSIBILITY FOR THE

CORRECTNESS OF INFORMATION

AFFECTING THE ABOVE PARTS

17. REPORTED BY:

SIGNATURE:

PHONE:

VENDOR: PLEASE DO NOT WRITE BELOW THIS LINE

18. QA POC 19. DATE VIR RECEIVED

20. DISPOSITION

APPROVED DISAPPROVED CONDITIONALLY APPROVED

NC# SOW# WO# W02690

BELOW SPACE IS FOR FINAL DISPOSITION AUTHORIZATION USE ONLY:

21. DISPOSITION RESULTS

RFD # YES NO

NAVSEA APPROVAL REQUIRED YES NO

RPR # YES NO

ISEA/TDA APPROVAL REQ’D YES NO

MINOR YES NO

MAJOR YES NO

COST IMPACT YES NO

SCHEDULE IMPACT YES NO

PART NUMBER IMPACT YES NO

APPROVALS

22. ENGINEERING DATE

23. QA DATE

24 TAHEF MANAGER DATE

25. ISEA or TDA DATE

26. DISPOSITION SENT TO SUPPLIER

BY PURCHASING:

DATE:

NOTICE TO SUPPLIER: THE DISPOSITION OUTLINED ABOVE IS APPLICABLE TO THE MATERIAL ON THIS VIR ONLY.

SHIPPING DOCUMENTS FOR THIS MATERIAL MUST REFERENCE THIS VIR.

6. WORK ORDER #

W02690

Revision Date 7/21/16 2

NUWCDIVNPT TAHE FACILITY FAX 401.832.3937

NUWC, BLDG 6 NEWPORT, RI 02841 PHONE 401.832.3068

VENDOR INFORMATION REQUEST FORM INSTRUCTIONS

A PROPERLY APPROVED VENDOR INFORMATION REQUEST (VIR) IS REQUIRED TO RESOLVE

TECHNICAL QUESTIONS OR PROBLEMS INVOLVING TOWED ARRAY HANDLING EQUIPMENT

FACILITY WORK ORDERS.

TO FACILITATE THE PREPARATION OF THE FORM, A BRIEF DESCRIPTION APPEARS BELOW

INDICATING THE INFORMATION REQUIRED TO BE ENTERED IN THE APPROPRIATE BLOCK. IF

MULTIPLE PAGES ARE REQUIRED, LINK ADDITIONAL PAGES BY BLOCK NUMBER TO THE FIRST

PAGE.

BLOCK NO. ENTRY (BLOCKS 2-16 TO BE FILLED IN BY VENDOR)

(BLOCKS 1, 17-25 TO BE FILLED IN BY TAHE FACILITY)

1. REFER TO THIS NUMBER (PROVIDED BY THE TOWED ARRAY FACILITY) ON ANY INQUIRY.

RECORD THIS NUMBER ON THE PACKING LIST PRIOR TO SHIPPING.

2. ENTER YOUR FULL MAILING ADDRESS, INCLUDING THE NAME OF ANYONE TO WHOM THE

RETURNED VIR SHOULD BE SENT.

3. THE DATE THE ENTRIES ARE BEING MADE.

4. GIVE DATE A REPLY TO THE VIR IS REQUIRED BY IN ORDER TO AVOID DELAY OF DELIVERY.

5. A GENERAL DESCRIPTION OF THE PART NAME THAT APPEARS ON THE PURCHASE ORDER.

6. WORK ORDER #

7. PART NUMBER

8. QUANTITY OF PIECES AFFECTED BY VIR (NOT QUANTITY ORDERED).

9. SERIAL NUMBER OF PIECE AFFECTED, WHERE APPLICABLE.

10. CHECK APPROPRIATE PART STATUS BLOCK.

11. DESCRIBE THE SPECIFIC PROBLEM/QUESTION/PROPOSED CHANGE, OR NONCONFORMANCE

IN DETAIL

INDICATE WHAT, IF ANYTHING, HAS BEEN VIOLATED

WHEN PROPOSING A MATERIAL SUBSTITUTION, INCLUDE A FULL DESCRIPTION OF THE

SUBSTITUTE MATERIAL (I.E.: ALLOY, CLASS, CONDITION OR TEMPER, SPECIFICATION,

ETC.). ATTACH A COPY OF THE TEST REPORT FOR THE MATERIAL IF AVAILABLE OR WITH

THE SHIPMENT OF THE COMPLETED HARDWARE.

WHEN REPORTING A NONCONFORMANCE INVOLVING THE HEAT TREATMENT OF

MATERIAL, A COPY OF THE APPLICABLE HEAT TREATMENT PROCEDURE USED SHOULD

BE ATTACHED.

WHEN REPORTING CHEMICAL AND MECHANICAL NONCONFORMANCE, ATTACH A COPY

OF THE TEST REPORT APPLICABLE LISTING BOTH CHEMICAL AND MECHANICAL TEST

RESULTS OF THE MATERIAL.

USE A CONTINUATION OR SKETCH SHEET IF THIS SPACE IS INADEQUATE TO SHOW A

SKETCH OR TO FULLY DESCRIBE THE PROBLEM.

12. INCLUDE THE CAUSE OF THE NONCONFORMANCE

13. INDICATE THE RECOMMENDED CORRECTIVE ACTION

14. INDICATE THE RECOMMENDED DISPOSITION

15. INCLUDE THE TECHNICAL JUSTIFICATION FOR ACCEPTING PERMANENT NONCONFORMANCE

BY INDICATING THE EFFECT OF THE DEVIATION ON THE FORM, FIT OR FUNCTION OF THE

MATERIAL, PART OR COMPONENT. IF UNABLE TO PROVIDE TECHNICAL JUSTIFICATION, SO

STATE. ALSO PROVIDE RATIONALE FOR PERCEIVED BENEFIT TO PURCHASER. FOR OUTSIDE

SERVICES INCLUDE REPAIR VS REPLACEMENT COST.

16. INDICATE THE DELIVERY IMPACT IF ACCEPTANCE OF THE REQUEST IS NOT GRANTED.

17. GIVE NAME OF PERSON TO CONTACT IN CASE OF ANY QUESTIONS REGARDING VIR.

18. FAX VIR to (401) 832-3937, to the attention of the Quality Assurance Department. QA Point Of Contact phone number is (401) 832-3068.

19. ENTER DATE VIR RECEIVED FROM VENDOR.

20. ENGINEERING, QA, AND MANAGEMENT ENTER REQUIRED INFORMATION.

21. ENGINEERING, QA, AND MANAGEMENT MARK EACH BLOCK AS APPLICABLE.

22– 25. APPROVALS AS REQUIRED.

26. PURCHASING: SIGN AND DATE WHEN COMPLETED VIR IS SENT TO SUPPLIER.