W911KB21R0043 AM04.pdf

W911KB21R0043

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 26-Jul-2021

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 W911KB21R0043

X 9B. DATED (SEE ITEM 11)

25-Jun-2021

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.)

LRDR Campus HEMP Hardness Maintenance and Surveillance

Amendment #04

The follow ing revisions are made. The identif ier “AM#04” appears before and after new and/or revised material and replacement pages are provided:

Replacement page 3 for Section M, Attachment 3 Seed Task Order PWS provided

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.

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION

NO. 0004

5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE

DATE

26-Jul-2021

CODE

U.S. ARMY ENGINEER DISTRICT, AK

CEPOA-CT (W911KB)

PO BOX 6898

JBER AK 99506-0898

W911KB 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W911KB21R0043

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION M, Attachment 3 – Seed Task Order Performance Work Statement, replacement page 3 a ttached.

iii. The contractor shall create missing procedures, operating instructions, or technical baseline data in existing documents because of accomplishing depot maintenance activities within thirty

(30) calendar days of completing a maintenance activity.

iv. The contractor shall update existing procedures, operating instructions, or technical baseline data because of accomplishing depot maintenance activities within thirty (30) calendar days of completing a maintenance activity.

v. The contractor shall perform scheduled periodic inspections and preventive maintenance IAW the HM/HS Program Plan developed in Task 1, and with the documents referenced in Section 4 of this PWS.

1. // AM#04 The Contractor shall purchase parts for repair, refurbishment and maintenance activities, which are of equal or greater quality to the parts replaced. The Contractor is responsible to provide tools and miscellaneous consumables in order to execute the HM/HS Program Plan and periodic inspections and preventive maintenance. AM#04 //

vi. The contractor shall conduct testing and evaluation of HEMP HM/HS actions to verify that the Facility HEMP subsystem is operational following the conclusion of any maintenance or surveillance activities.

vii. The contractor shall document and report all maintenance and/or surveillance actions to the Government. The report will contain at a minimum:

1. Wireframe building mapping of all Hardness Critical Item (HCI) locations grouped by Radio Frequency (RF) Doors, Shielded Cabinets/Special Protective Measures (SCs/SPMs), Pipes and Conduits (PCs), and Waveguides (WGs) (separate maps for each category by type of effort and to allow individual HCI identification). These maps are to include a compass rose for orientation, and an overall building layout map for the site.

2. Tabular tracking of HCI refurbishment progress for the site for the year along with planned activities for the remainder of the year.

3. Indication of specific quarterly work effort mapped to plan presented in annual HM/ HS Plan for the year for the site.

4. Tabular presentation of RF door inspection results to include indication of cleaning versus refurbishment and notations of condition/associated issues, such as corrections made or needed in RF door control system.

5. Low Level Characterization Test (LLCT) Data plots of before/after cleaning/refurbishment performance effectiveness data results for all RF doors for the site.

6. Tabular presentation of all measurements of Shielded Cabinet (SC) Metal Oxide Varistor (MOV)/surge protection temperature and trigger voltages as measured along with allowable range of values for all SCs refurbished in the quarterly visit.

7. Tabular presentation of all inspection results for all SCs/SPMs inspected/refurbished in the quarterly visit.

8. Pictures of before and after condition or work being performed of RF doors and SCs from that quarterly visit for HCIs noted as having issues, along with any unique issues found/addressed such as unusual gasket damage, corrosion, control system repairs, pneumatic system maintenance/repairs, or any other notable condition observed and addressed in the quarter.

9. Tabular presentation of notable observations from WG and PC inspections in the quarter, and any other HCI’s of other types that have been identified.

10. A punch list of items from the quarterly visit that may be delayed until the next quarter, that were begun and could not be completed in this quarter along with details, or that may require a contract change for resolution.