N6660418Q1175P00001_with_attachments.pdf

1300691130

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 ammendment is to add Exhibit A as an attachment and to extend the Solicitation Issue Date from 28 March 2018 to 29

March 2018.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 29-Mar-2018

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 N6660418Q1175

X 9B. DATED (SEE ITEM 11)

29-Mar-2018

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 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

29-Mar-2018

CODE

NAVAL UNDERSEA WARFARE CENTER

NICHOLAS J SALZANO, CODE 0224

CONTRACTS DEPARTMENT

1176 HOWELL STREET, BLDG. 1258

NEWPORT RI 02841-1708

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6660418Q1175

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The solicitation issue date has changed from 28-Mar-2018 to 29-Mar-2018.

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Vendor Information

Request_W02836

2 27-MAR-2018

Attachment 2 TAHE Facility Quality

Receipt Inspection Report

2 27-MAR-2018

to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Exhibit A Contract Data

Requirements List with

Addendum (CDRLs)

4 28-MAR-2018

Attachment 1 Vendor Information

Request_W02836

2 27-MAR-2018

Attachment 2 TAHE Facility Quality

Receipt Inspection Report

2 27-MAR-2018

(End of Summary of Changes)

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURNS your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP TM OTHER MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

TOWED ARRAY HANDLING EQUIPMENT

FACILITY PR 1300691130

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE (COC)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-81356A RIR_QAP_WO2836 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS A. Clemente 0 1 0

BLOCK 10: COC SHALL BE DELIVERED WITH EACH SHIPMENT

BLOCK 9: SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 TECHNICAL REPORT – STUDY/SERVICES MERCURY FREE CERTIFICATION

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-81356A RIR_QAP_WO2836 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT C SEE BLOCK 16 N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS

A. Clemente 0 1 0

BLOCK 10: CERTIFICATION REPORT BE DELIVERED WITH EACH SHIPMENT

BLOCK 9: SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

H. DATE I. APPROVED BY J. DATE G. PREPARED BY

1/17/2018

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 3 Pages

TBD

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURNS your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP TM OTHE

MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

TOWED ARRAY HANDLING EQUIPMENT

FACILITY PR 1300691130

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 CERTIFICATE OF ANALYSIS CERTIFICATE OF ANALYSIS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B RIR_QAP_WO2836 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS A. Clemente 0 1 0

BLOCK 10: CERTIFICATE SHALL BE DELIVERED WITH EACH SHIPMENT

BLOCK 9: SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A004 TECHNICAL REPORT – STUDY/SERVICES PROCESS CERTIFICATION - Weld Procedure Specification (WPS)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B RIR_QAP_WO2836 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT C ASREQ SEE

BLOCK 16

SEE BLOCK 16 b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS

A. Clemente 0 1 0

BLOCK 10: CERTIFICATION SHALL BE DELIVERED WITH EACH SHIPMENT

BLOCK 9: SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

H. DATE I. APPROVED BY J. DATE G. PREPARED BY

1/17/2018

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 3 Pages

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURNS your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP TM OTHE

MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

TOWED ARRAY HANDLING EQUIPMENT

FACILITY PR 1300691130

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A005 TECHNICAL REPORT – STUDY/SERVICES INSPECTION DATA SHEETS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B RIR_QAP_WO2836 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS A. Clemente 0 1 0

BLOCK 10: DATA SHEETS FOR EACH ITEM SHALL BE DELIVERED WITH EACH

SHIPMENT

BLOCK 9: SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A006 TECHNICAL REPORT – STUDY/SERVICES METROLOGY / CMM REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B RIR_QAP_WO2836 NUWCDIVNPT CODE 1534 18 ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT C ASREQ SEE

BLOCK 16

N/A b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLOCK 16 N/A N/A Reg Repro

16. REMARKS

A. Clemente 0 1 0

BLOCK 10: DATA SHEETS FOR EACH ITEM SHALL BE DELIVERED WITH EACH

SHIPMENT

BLOCK 9: SEE BLOCK 16 ADDENDUM

15. TOTAL 0 1 0

H. DATE I. APPROVED BY J. DATE

G. PREPARED BY

1/17/2018 DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 3 of 3 Pages

Enclosure (3)

DD FORM 1423, CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

PR 1300691130

BLOCK 9: The following information is provided in amplification of the Block 9 Distribution Statement shown on each DD FORM 1423.

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

CDRLs A001 through A006

Distribution Statement C . Distribution authorized to U.S. Government Agencies and their contractors (Critical Technology) (4/26/2017). Other requests for this document shall be referred to insert (controlling DoD office – NUWCDIVNPT Code 1534

The following 'EXPORT CONTROL WARNING NOTICE' must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items:

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

N6660418Q1175P00001