A22_Amendment 0001_Tender Boat with Operating Personnel.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

Reference W912EE21Q0014 for the Lease of One Tender Boat w ith Operating Personnel. A MVK Safety Inspection Checklist of Tugs, Tenders & Motorboats is hereby attached and included w ith the solicitation. LMV Form 358-R and MVK 385-359-R have been attached as w ell.

All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 01-Feb-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 W912EE21Q0014

X 9B. DATED (SEE ITEM 11)

26-Jan-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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

01-Feb-2021

CODE

VICKSBURG CONTRACTING OFFICE

4155 CLAY ST

VICKSBURG MS 39183-3435

W912EE 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912EE21Q0014

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

(End of Summary of Changes)

SAFETY INSPECTION CHECKLIST

U.S. Army Engineer District, Vicksburg District

Date of Inspection:

Contractor or Unit Contract No. Or Activity

Name of Vessel (Identification) Name of Operator (Captain)

Inspected by (Signature) Witness (Signature)

TUGS, TENDERS & MOTORBOATS

NOTE: Safety and Health Requirements Manual (EM385-1-1 (15 Sep 08)) references in parentheses.

Yes No N/A

1. Is a valid Coast Guard certificate or Marine Survey available? (19.A.01(a)(b))

2. Does the boat operator have a valid Coast Guard certificate or correctly endorsed document? (19.A.02)

3. Is emergency lighting and power system inspected monthly? (19.A.04(g))

4. Is an adequate whistle, horn, or warning device provided? (19.A.05(c))

5. Is the maximum passenger capacity posted? (19.C.02(a))

6. Is at least the number of life vests provided the same as the posted passenger capacity? (19.C.02(a))

7. Are two ways of exit provided when crew is at normal work, messing areas, assembly or quartered?

(19.B.04(b))

8. Can doors be secured in either open or closed positions? (19.A.07(h)) (19.B)

9. Are railings or grab bars provided along the sides? (19.A.07(c)) (19.B.)

10. Are stumbling hazards, deck fittings, etc. painted safety yellow? (19.A.07(i))

11. Are non-slip surfaces provided on ship's ladders, decks, and walks? (19.B.01(b))

12. On towing vessels, is an axe provided in an easily accessible location for freeing lines? (19.A.05(b))

13. Are controls, requiring operation in cases of emergency, to items such as (fire extinguishing system, power switches, safety & fuel valves, alarms, boiler stops) readily available and protected from accidental operation?

(19.A.05(d))

14. Are try cocks or glass tube gauges on the fuel tanks? Do they meet the requirements of 46 CFR 58.50-10?

(19.A.06(a))

15. Is shut-off valve provided at both the tank and engine end of the fuel line? (19.A.06(b)(c))

16. Can the shut-off valve at the tank be operated from outside the tank compartment? (19.A.06(b))

17. Are gasoline engine carburetors fitted with flame arresters or backfire trap? (19.A.06(d))

18. Is there a carburetor drip pan with flame screen that either empties overboard or is emptied by the intake manifold suction? Note: Not required on downdraft. (19.A.06(e))

19. Are shafts, gears, and moving parts adequately screened or guarded against contact? (16.B.03) (a)

20. Are hot pipes and surfaces insulated or screened? (16.B.03(b))

21. Have the air tanks been tested and certified? (20.A)

22. When gasoline or L.P. gas power plant or equipment is used, is the vessel fitted with an automatic CO2 system or the equivalent and one hand operated dry powder or CO2 extinguisher? (19.C.03(b))

23. Are explosive proof exhaust fans provided to ventilate bilges when gasoline or L.P. gas is used? (19.A.10)

24. Are hand powered deck winches provided with self-holding brakes? Are cranks and wheels with projecting spokes, pins, or knobs prohibited? (13.A.08)

25. Is an adequate first-aid kit available? (03.A.03)

26. Are at least two members of the crew on each watch qualified to administer first-aid and CPR? (03.A.02)

SAFETY INSPECTION CHECKLIST

TUGS, TENDERS & MOTORBOATS U.S.

Army Engineer District, Vicksburg District

Date of Inspection:

YES NO N/A

27. Are properly fitted ring buoys and one water light provided? (05.H.03) (05.I.04(d))

28. Is a safe means to board and disembark provided? (19.B.02(a))

29. Is adequate protection from the elements provided for all persons being transported by water? (19.A.05 (d))

30. Are the fuel fill pipe connections located outside the engine room? (19.A.06 (b))

31. Are the fuel tanks vented directly to the atmosphere? (19.A.06 (h))

32. Are the fuel vents and fill pipes provided with a catch basin having a capacity of at least 18 inches deep and having a capacity of at least 5 gallons? (Flush deck fill fitting being serviced with automatic backpressure shutoff nozzles are excluded.) (19.A.06)

33. Is the fuel transfer system designed to receive fuel by a fixed connection if an automatic backpressure shutoff nozzle is not used? (19.A.06)

34. Is the bilge alarm in working order! (19.A.05.(d)) (19.A.07 (b))

35. Are all the confine spaces labeled? (19A.08)

36. Is PFD worn as required? Is the requirement enforced? (05.H.01) (19.A.03)

37. Has a position hazard analysis been prepared for government employees as warranted by the hazards?

(01.A.10)

38. Is an emergency safety ladder on board? ( 19.B.04)

39. Is the Motorboat 18’ in length or longer?

Remarks:

1. Date Prepared: __________________________________ 5. Activity: _____________________________________________

2. Contract Number: __________________________________ _____________________________________________

3. Contract Name: __________________________________ 7. Analysis Phase & Date: _____________________________________________

4. Prepared by: __________________________________ 8. Reviewed By MVK‐SO: _____________________________________________

9. JOB STEPS 10. HAZARDS 11. ACTIONS TO ELIMINATE OR MINIMIZE HAZARDS

12. EQUIPMENT 13. TRAINING 14. INSPECTION

MVK Form 385‐359‐R (Revised) January 2011 Proponent MVK‐SO

Accident Prevention Program

Activity Hazard Analysis

6. Estimated Start Date:

15. SSHO Name & Signature 16. Project Manager/Superintendent Name & Signature

INSTRUCTIONS FOR COMPLETION OF MVK Form 385-359-R

Item Number Instruction

1, 2, & 3 Self-explanatory.

4 The Company representative that prepared the hazard analysis, and title if not given later in the form.

5 Activity refers to the specific phase of work being analyzed, (e.g., clearing & Grubbing, stone placement, form erection. electrical installation, pile driving, etc.).

6 Estimated start date of the activity being analyzed.

If this is the initial Hazard Analysis for this activity, indicate “Initial.” If this is an updated analysis for this activity, indicate “Update.” Hazard Analysis should be reviewed and updated at preparatory inspection if needed. Show date discussed with Government representatives.

8 This is for signature of Vicksburg District Safety Officer after his review of submittal.

9 The principal steps of operation for the activity should be identified in the sequence in which they occur.

10. The hazards associated with each step should be identified.

11 Precautionary actions and controls should be specific to the hazard identified. They should be what the contractor actually intends to implement and enforce, not general comments such as “work will be done in accordance with EM 385-1-1.”

12 All major pieces of equipment that will be used in this activity shall be identified.

13 List any required training already obtained by personnel performing this task, as well as any training that personnel will be taking in order to perform this task safely and efficiently, including equipment operator training.

14 Inspection procedures for equipment identified in item 12 should be stated in this item, as well as training requirements for personnel involved.

15 Name and signature of Contractor’s Site Safety and Health Officer (SSHO).

16 Name and signature of Contractor’s onsite Project Manager or Superintendent.