N68908-16-T-0043-0002.pdf

N6609416RC5G013

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

PREVENTIVE MAINTENANCE SERVICES, LOCATED AT CHERRY POINT, NC

The purpose of this Amendment is to add Option Years and quantity requirement. Closing Date and time for offers is 31 March 2016, at 5:00pm Eastern. See continuation page s for the summary of changes.

1. CONTRACT ID CODE PAGE OF PAGES

1 9

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

16C. DATE SIGNED

BY 24-Mar-2016

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 N68908-16-T-0043

X 9B. DATED (SEE ITEM 11)

10-Mar-2016

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

24-Mar-2016

CODE

NAVY MEDICINE EAST

ATTN: LYNN LOVEJOY

SUITE 1400

620 JOHN PAUL JONES CIRCLE

PORTSMOUTH VA 23708-2106

N68908 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

lynn.v.lovejoy.civ@mail.milEMAIL:757-953-7920TEL:

LYNN V. LOVEJOY / CONTRACT SPECIALIST

N68908-16-T-0043

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

Global Changes

CLIN 0001 -- CLIN 0002

The CLIN extended description has changed from:

(1) YEAR OF ANNUAL AND PREVENTIVEMAINTENANCE ON THE SQA

INSTRUMENT FOR THE PERIOD OF PERFORMANCE 1 APRIL 2016 THROUGH 31

MARCH 2017

To:

Base YEAR OF ANNUAL AND PREVENTIVE MAINTENANCE ON THE SQA

INSTRUMENT FOR THE PERIOD OF PERFORMANCE 15 APRIL 2016 THROUGH 14

APRIL 2017.

CLIN 1001 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1001 Years

OPTION 8124 SQA-V SERVICE CONTRACT

FFP

Option Year (1) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2017 THROUGH 14 APRIL 2018

FOB: Destination

MILSTRIP: N6609416RC5G013

NET AMT

CLIN 1002 is added as follows:

1002 Years

OPTION 8130 SQA-V PREVENTATIVE MAINTENANCE (PM)

FFP

Option Year (1) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2017 THROUGH 14 APRIL 2018

CLIN 2001 is added as follows:

2001 Years

OPTION 8124 SQA-V SERVICE CONTRACT

FFP

Option Year (2) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2018 THROUGH 14 APRIL 2019

CLIN 2002 is added as follows:

2002 Years

OPTION 8130 SQA-V PREVENTATIVE MAINTENANCE (PM)

FFP

Option Year (2) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2018 THROUGH 14 APRIL 2019

CLIN 3001 is added as follows:

3001 Years

OPTION 8124 SQA-V SERVICE CONTRACT

FFP

Option Year (3) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2019 THROUGH 14 APRIL 2020

CLIN 3002 is added as follows:

3002 Years

OPTION 8130 SQA-V PREVENTATIVE MAINTENANCE (PM)

FFP

Option Yeaar (3) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2019 THROUGH 14 APRIL 2020

CLIN 4001 is added as follows:

4001 Years

OPTION 8124 SQA-V SERVICE CONTRACT

FFP

Option Year (4) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2020 THROUGH 14 APRIL 2021

CLIN 4002 is added as follows:

4002 Years

OPTION 8130 SQA-V PREVENTATIVE MAINTENANCE (PM)

FFP

Option Year (4) YEAR OF ANNUAL AND PREVENTIVE

MAINTENANCE ON THE SQA INSTRUMENT FOR THE PERIOD OF

PERFORMANCE 15 APRIL 2020 THROUGH 14 APRIL 2021

SECTION E - 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 2001:

The following Acceptance/Inspection Schedule was added for CLIN 2002:

The following Acceptance/Inspection Schedule was added for CLIN 3001:

The following Acceptance/Inspection Schedule was added for CLIN 3002:

The following Acceptance/Inspection Schedule was added for CLIN 4001:

The following Acceptance/Inspection Schedule was added for CLIN 4002:

SECTION F - DELIVERIES OR PERFORMANCE

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

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

POP 01-APR-2016 TO

31-MAR-2017

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

N66094

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

POP 15-APR-2016 TO

14-APR-2017

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

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

POP 01-APR-2016 TO

31-MAR-2017

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

To:

POP 15-APR-2016 TO

14-APR-2017

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 1001:

POP 15-APR-2017 TO

15-APR-2018

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 1002:

POP 15-APR-2017 TO

15-APR-2018

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 2001:

POP 15-APR-2018 TO

14-APR-2019

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 2002:

POP 15-APR-2018 TO

14-APR-2019

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 3001:

POP 15-APR-2019 TO

14-APR-2020

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 3002:

POP 15-APR-2019 TO

14-APR-2020

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 4001:

POP 15-APR-2020 TO

14-APR-2021

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

The following Delivery Schedule item has been added to CLIN 4002:

POP 15-APR-2020 TO

14-APR-2021

N/A NAVAL HEALTH CLINIC CHERRY POINT

RECEIVING OFFICER

4389 BEAUFORT ROAD

CHERRY POINT NC 28533-0023

252-466-0515

(End of Summary of Changes)