W91CRB-21-R-0012 Amendment 9.pdf
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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
This amendment is for the follow ing:
1. To incorporate revised Attachment 01 FWS-I Performance Specification FRP-PRF-FWSI (Draft 16 Sep 2021).
Your POC for this action is Jerry Simmons, gerald.a.simmons2.civ@mail.mil
1. CONTRACT ID CODE PAGE OF PAGES
U 1 3
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 21-Sep-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 W91CRB21R0012
X 9B. DATED (SEE ITEM 11)
11-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 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
21-Sep-2021
CODE
ACC - APG - W91CRB
BLDG 4310
6515 INTEGRITY COURT
ABERDEEN PROVING GROUND MD 21005-3013
W91CRB 7. ADMINISTERED BY (If other than item 6)
4. REQUISITION/PURCHASE REQ. NO.
CODE
See Item 6
FACILITY CODECODE
EMAIL:TEL:
W91CRB21R0012
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS
The following have been modified:
LIST OF ATTACHMENTS
The following documents are attahced hereto and incorprated by reference:
Attachment Number
Title
01 FWS-I Performance Specification FRP-PRF-FWSI (DRAFT 9-16-2021)
02 FWS-I ISW Interface Control Document (1-8-2021)
03 ISW Protocol Specification (7-15-2021)
04 I-MILES IWS 2 Performance Specification PRF-PT-00543, Rev B
05 Manworn HALO Assembly, Drawing 184100, Rev C
06 Mount Assembly, Drawing A3301511, Rev B
07 M16A1/A2 & M4 Bracket Assembly, Drawing A3170580, Rev B
08 ISW SolNet Property Descriptor Specification (7-7-2021)
09 ISW SolNet Protocol (7-7-2021)
10 FWS-I Security Classification Guide 13 Mar 2013
11 DD254 Contract Security Classification Specification
12 ISW Embedment Guide (7-15-2021)
13 FWS-I Failure Definition and Scoring Criteria (FDSC) 24 May 2013
14 Tool Kit, Electronic Equipment TK-105A/G
15 Modular TMDE Tech Manual
16 NVThermIP Modeling Guidance
17 NV ImageJ Instructions
18 NV 2009 Model Files
19 LSA 036 Card Block Preparation Guide
20 DD1494 Preparation Guide
21 Requisitioned Government Furnished Property- VERSION 1.3
22 Scheduled Government Furnished Property- VERSION 1.4
23 Total Evaluated Price (TEP) Matrix (29 JAN 2021)
24 TM 11-5855-343-10 Operator_2020-7-01
25 Past Performance Questionnaire
26 Small Arms Tool Kit, NSN 5180-01-559-5981
27 Army’s Automated System Safety Engineering Tool (ASSET) and electronic Hazard Tracking System (eHTS)
28 Guidance for Army’s Computerized Optimization Model for Predicting and Analyzing Support Structures (COMPASS) model
W91CRB21R0012
29 Quality Assurance Surveillance Plan (QASP)
30 FWS-I Q&A Tracker 23 FEB 2021
31 New Weapon Shock Data (4-1-2021) Note: added document
Exhibit Document Title
A Contract Data Requirements List (CDRL) 2 FEB 2021
B Data Item Descriptions (DIDs)
(End of Summary of Changes)
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