AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
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1 1. Contract ID Code Page 1 Of 5 AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT Firm Fixed Price 2. Amendment/Modification No. 3. Effective Date 4. Requisition/Purchase Req No. 5. Project No. (If applicable) P MAY01 SEE SCHEDULE 6. Issued By Code W56HZV 7. Administered By (If other than Item 6) Code U.S. ARMY CONTRACTING COMMAND JOSEPH CASIMIRO WARREN, MICHIGAN DCMA BALTIMORE 217 EAST REDWOOD STREET SUITE 1800 BALTIMORE MD S2101A [email protected] 8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code) 9A. Amendment Of Solicitation No. SURVICE ENGINEERING COMPANY, LLC, THE 4695 MILLENNIUM DR BELCAMP, MD B. Dated (See Item 11) X 10A. Modification Of Contract/Order No. Code 7T988 Facility Code W56HZV-13-C B. Dated (See Item 13) 2013FEB THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS The above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offers 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 amendments: (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) NO CHANGE TO OBLIGATION DATA X 13. THIS ITEM ONLY APPLIES TO MODIFICATIONS OF CONTRACTS/ORDERS It Modifies The Contract/Order No. As Described In Item 14. A. This Change Order is Issued Pursuant To: 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 data, etc.) Set Forth In Item 14, Pursuant To The Authority of FAR (b). C. This Supplemental Agreement Is Entered Into Pursuant To Authority Of: D. Other (Specify type of modification and authority) Mutual Agreement of Both Parties E. IMPORTANT: Contractor is not, X 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.) SEE SECOND PAGE FOR DESCRIPTION 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) 16A. Name And Title Of Contracting Officer (Type or print) THOMAS K. SARGEE [email protected] (586) B. Contractor/Offeror 15C. Date Signed 16B. United States Of America 16C. Date Signed (Signature of person authorized to sign) NSN PREVIOUS EDITIONS UNUSABLE By /SIGNED/ 2014MAY01 (Signature of Contracting Officer) STANDARD FORM 30 (REV ) Prescribed by GSA FAR (48 CFR)
2 CONTINUATION SHEET Reference No. of Document Being Continued Page 2 of 5 PIIN/SIIN W56HZV-13-C-0173 Name of Offeror or Contractor: SURVICE ENGINEERING COMPANY, LLC, THE SECTION A - SUPPLEMENTAL INFORMATION Buyer Name: JOSEPH CASIMIRO Buyer Office Symbol/Telephone Number: PM LAV-C/(586) Type of Contract: Firm Fixed Price Kind of Contract: Service Contracts Type of Business: Large Business Performing in U.S. Surveillance Criticality Designator: C Weapon System: No Identified Army Weapons Systems *** End of Narrative A0000 *** Contract: W56HZV-13-C-0173 Modification: P00008 Previous Contract Amount: $713, Amount of This Action: $ 0.00 Revised Amount: $713, The following Documents are added to the Government Furnished Information list in Attachment LAV-AT Reliability Prediction and Documentation of Supporting Data 36. LAV-AT Reliability Prediction and DOC Sprtg Data-Appendix C Embedded 37. LAV-AT Safety Assessment Report 38. LAV-AT Safety Assessment Report- Appendix B Hazard Database-Embedded 39. LAV-AT Safety Assessment Report-FTA-Embedded 40. LAT-AT Software Requirements Specification 41. LAV-AT Software Requirements Specification-Appendix C Embedded 42. LAV-AT Technical Manuals 43. LAV-AT Technical Manual L C Embedded 44. LAV-AT Technical Manual SL C Embedded 45. LAV-AT Technical Manual TM 08652C Embedded 2. Attachment 0005 is added for CLIN 0002AA for the Performance Based Milestone Schedule, per FAR Performance Based Payments. *** END OF NARRATIVE A0009 ***
3 CONTINUATION SHEET Page 3 of 5 Reference No. of Document Being Continued PIIN/SIIN W56HZV-13-C-0173 Name of Offeror or Contractor: SURVICE ENGINEERING COMPANY, LLC, THE ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS 0002 SYSTEM ENGINEERING SERVICES 0002AA EXERCISED OPTION 1 LO $ 234, SERVICE REQUESTED: SYSTEM ENGINEERING SERVICES CLIN CONTRACT TYPE: Firm Fixed Price PRON: T131TE214K PRON AMD: 01 ACRN: AB PSC: 2590 CUSTOMER ORDER NO: M MPR3EH1 Inspection and Acceptance INSPECTION: Destination ACCEPTANCE: Destination Deliveries or Performance DLVR SCH PERF COMPL REL CD QUANTITY DATE AUG-2014 $ 234,593.00
4 Page 4 of 5 Reference No. of Document Being Continued CONTINUATION SHEET PIIN/SIIN W56HZV-13-C-0173 Name of Offeror or Contractor: SURVICE ENGINEERING COMPANY, LLC, THE ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5 CONTINUATION SHEET Reference No. of Document Being Continued Page 5 of 5 PIIN/SIIN W56HZV-13-C-0173 Name of Offeror or Contractor: SURVICE ENGINEERING COMPANY, LLC, THE SECTION J - LIST OF ATTACHMENTS List of Number Addenda Title Date of Pages Transmitted By Exhibit A CONTRACT DATA REQUIREMENTS LIST DATA Attachment 0001 GOVERNMENT FURNISHED INFORMATION DATA Attachment 0005 PERFORMANCE BASED MILESTONE SCHEDULE 14-APR
6 ATT/EXH ID Exhibit A PAGE 1 CONTRACT DATA REPORTING LIST (DD Form 1423) Form Approval OMB No Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for retrieving 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, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract No. listed in Block E. A. CONTRACT LINE ITEM NO.: 0005 D. SYSTEM/ITEM...: LAV-ATM B. EXHIBIT...: A E. CONTRACT NO...: W56HZV-13-C-0173 C. CATEGORY...: TDP_TM_OTHER_xx F. CONTRACTOR...: Survice Engineering Company 1. DATA ITEM NO...: A TITLE OF DATA ITEM...: Report, Record of Meeting Minutes and Action Items 3. SUBTITLE...: Agendas, Start of Work Meeting Minutes, and Action Items TIWGs/TRRs Meeting Minutes and Action Items 4. AUTHORITY...: DI-ADMIN CONTRACT REFERENCES...: Scope of Work (SOW), Sections C.2.5, C.5.1, C REQUIRING OFFICE...: PM-LAV/AMSTA-CSD-LAV 8. APP CODE...: N/A 7. DD250 REQ...: LT 9. DIST. STATEMENT REQUIRED: D 10. FREQUENCY: As Requ 11. AS OF DATE: See BLK DATE OF FIRST SUB: See BLK DATE OF SUBS. SUB: See BLK DISTRIBUTION: See BLK 16 A. ADDRESSES B. COPIES: DRAFT: FINAL: TOTAL: AS REQ 16. REMARKS: Blocks 12 and 13: Start of Work Meeting Minutes and Action Items are required through 30 October TIWGs/TRRs Meeting Minutes and Action Items will be submitted 5 days after conducting each meeting or review. Block 14: All Meeting Minutes and shall be submitted via to: [email protected] and [email protected]. All Action Items shall be recorded on the LAV-ATM Portal at CONTRACT DATA REPORTING LIST (DD Form 1423) Form Approval OMB No Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for retrieving 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, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract No. listed in Block E. A. CONTRACT LINE ITEM NO.: 0005 D. SYSTEM/ITEM...: LAV-ATM B. EXHIBIT...: A E. CONTRACT NO...: W56HZV-13-C-0173 C. CATEGORY...: TDP_TM_OTHER_xx F. CONTRACTOR...: Survice Engineering Company 1. DATA ITEM NO...: A TITLE OF DATA ITEM...: Scientific and Technical Reports Summary 3. SUBTITLE...: DVT Test Monitor Report FD/SC Report FUE Summary Report Operational Test Plan Assessment Report Detailed Test Summary Report Risk Recon-Detailed Risk Report Assessment Safety Issues and Concerns Report Safety Technical Review Report
7 ATT/EXH ID Exhibit A PAGE 2 4. AUTHORITY...: DI-MISC-80048, See BLK CONTRACT REFERENCES...: Scope of Work (SOW), Sections C.2.1.1, C.2.2, C.2.2.1, C.2.3, C.2.4, C.2.6, C.2.9, C.2.9.1, C.3.2, C.4.2, C REQUIRING OFFICE...: PM-LAV/AMSTA-CSD-LAV 8. APP CODE...: N/A 7. DD250 REQ...: LT 9. DIST. STATEMENT REQUIRED: D 10. FREQUENCY: As Requ 11. AS OF DATE: N/A 12. DATE OF FIRST SUB: See BLK DATE OF SUBS. SUB: See BLK DISTRIBUTION: See BLK 16 A. ADDRESSES B. COPIES: DRAFT: FINAL: TOTAL: AS REQ 16. REMARKS: Block 12: Initial submission of each deliverable is identified below: DVT Test Monitor Report: 15 days after receipt of DVT test results. FD/SC Report: 15 days after receipt of Failure Definition and Scoring Criteria. FUE Summary Report: 45 days after contract award. Operational Test Plan Assessment Report: 45 days after receipt of MCOTEA Operational Test Plan Detailed Test Plan Summary Report: 15 days after the first TIWG review. Risk Recon-Detailed Risk Report Assessment: 30 days after contract award. Safety Issues and Concerns Report: 45 days after receipt of all safety related GFI. Safety Technical Review Report: 45 days after receipt of all safety related GFI. TIR Summary Report: 15 days after receipt of the first submitted TIR. Block 13: Subsequent submission of each deliverable is identified below: DVT Test Monitor Report: On the 15th of every month FD/SC Report: N/A FUE Summary Report: As required Operational Test Plan Assessment Report: N/A Detailed Test Plan Summary Report: 10 days after each succeeding TIWG scheduled. Risk Recon-Detailed Risk Report Assessment: On the 15th of every month. Safety Issues and Concerns Report: On the last working day of every month. Safety Technical Review Report: On the last working day of every month. TIR Summary Report: On the 15th of every month. Block 14: All deliverables shall be submitted via to: [email protected] and [email protected]. CONTRACT DATA REPORTING LIST (DD Form 1423) Form Approval OMB No Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for retrieving 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, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract No. listed in Block E. A. CONTRACT LINE ITEM NO.: 0005 D. SYSTEM/ITEM...: LAV-ATM B. EXHIBIT...: A E. CONTRACT NO...: W56HZV-13-C-0173 C. CATEGORY...: TDP_TM_OTHER_xx F. CONTRACTOR...: Survice Engineering Company 1. DATA ITEM NO...: A TITLE OF DATA ITEM...: Program Documentation 3. SUBTITLE...: Test & Evaluation Master Plan (TEMP) Requirements Traceability Matrix (RTM) System Engineering Plans Clinger Cohen Act Compliance Support Document Information Assurance Strategy Registration of Mission Critical and Mission Essential
8 ATT/EXH ID Exhibit A PAGE 3 Information Systems Support Document Spectrum Certification Compliance Support Document Analysis of the LAV-ATA2 Vulnerability to Chemical, Biological, Radiological and Nuclear (CBRN) Weapons and Offensive Information Operations (OIO) Information Support Plan 4. AUTHORITY...: N/A 5. CONTRACT REFERENCES...: Scope of Work (SOW), Sections C.2.7, C.3.1, C REQUIRING OFFICE...: PM-LAV/AMSTA-CSD-LAV 8. APP CODE...: A 7. DD250 REQ...: LT 9. DIST. STATEMENT REQUIRED: D 10. FREQUENCY: As Req 11. AS OF DATE: See BLK DATE OF FIRST SUB: See BLK DATE OF SUBS. SUB: See BLK DISTRIBUTION: See BLK 16 A. ADDRESSES B. COPIES: DRAFT: FINAL: TOTAL: AS REQ 16. REMARKS: Block 12: Initial submission of each deliverable is identified below: Test & Evaluation Master Plan (TEMP): 60 days prior to conclusion of contract performance Requirements Traceability Matrix (RTM): 14 days prior to DT and OT TRR. System Engineering Plans: 90 days prior to the end of contract Period of Performance. Clinger Cohen Act Compliance Support Document: 120 days prior to the end of contract Period of Performance. Information Assurance Strategy: 120 days prior to the end of contract Period of Performance. Registration of Mission Critical and Mission Essential: 90 days prior to the end of contract Period of Performance Information Systems Support Document: 90 days prior to the end of contract Period of Performance Spectrum Certification Compliance Support Document: 120 days prior to the end of contract Period of Performance Information Support Plan: 60 days prior to conclusion of contract performance. Analysis of the LAV-ATA2 Vulnerability to CBRN Weapons, and OIO: 30 days prior to the end of contract Period of Performance. The government shall have 14 days to provide comments, on all the above deliverables, the contractor shall incorporate those comments and provide a resubmission within 7 days of receipt of Government comments. Block 13: Subsequent submission of each deliverable is identified below: Test & Evaluation Master Plan (TEMP): N/A Requirements Traceability Matrix (RTM): Updates proposed by the contractor at any time. a. System Engineering Plans: At the conclusion of the option period. b. Clinger Cohen Act Compliance Support Document: At the conclusion of the option period\ c. Information Assurance Strategy: At the conclusion of the option period d. Registration of Mission Critical and Mission Essential: At the conclusion of the option period e. Spectrum Certification Compliance Support Document: At the conclusion of the option period f. Information Support Plan: At the conclusion of the option period g. Analysis of the LAV-ATA2 Vulnerability to CBRN Weapons, and OIO: At the conclusion of the option period All Final documents above (a-g) shall be submitted no later than 30 days prior to the end of Contract Period of Performance. Block 14: All deliveries shall be submitted via to [email protected] and [email protected]. CONTRACT DATA REPORTING LIST (DD Form 1423) Form Approval OMB No Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for retrieving 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, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract No. listed in Block E.
9 ATT/EXH ID Exhibit A PAGE 4 A. CONTRACT LINE ITEM NO.: 0005 D. SYSTEM/ITEM...: LAV-ATM B. EXHIBIT...: A E. CONTRACT NO...: W56HZV-13-C-0173 C. CATEGORY...: TDP_TM_OTHER_xx F. CONTRACTOR...: Survice Engineering Company 1. DATA ITEM NO...: A TITLE OF DATA ITEM...: Report, Record of Meeting Minutes 3. SUBTITLE...: Detailed Test Plan Summary Report Trip Report Test Witness Trip Report Test Incident Scoring Conference Trip Report FOLAV T&E WIPT Trip Report 4. AUTHORITY...: DI-ADMIN CONTRACT REFERENCES...: Scope of Work (SOW), Sections C.2.4, C.2.8, C.2.10, C REQUIRING OFFICE...: PM-LAV/AMSTA-CSD-LAV 8. APP CODE...: N/A 7. DD250 REQ...: LT 9. DIST. STATEMENT REQUIRED: D 10. FREQUENCY: As Req 11. AS OF DATE: See BLK DATE OF FIRST SUB: See BLK DATE OF SUBS. SUB: See BLK DISTRIBUTION: See BLK 16 A. ADDRESSES B. COPIES: DRAFT: FINAL: TOTAL: AS REQ 16. REMARKS: Blocks 12 and 13: The contractor shall submit the Trip Reports Identified below 7 days after the completion of each trip: Detailed Test Plan Summary Report Trip Report Test Witness Trip Report Test Incident Scoring Conference Trip Report FOLAV T&E WIPT Trip Report Block 14: All deliverables hall be submitted via to [email protected] and [email protected].
10 ATT/EXH ID Attachment 0001 PAGE 1 Government Furnished Information (GFI) 1. Failure Definition and Score Criteria 2. Risk Recon-Detailed Risk Reports 3. System Engineering Plans 4. Clinger Cohen Act Compliance Document and Mission Critical and Mission Essential (MCME) Information Systems Document 5. Information Assurance Certification Review 6. Spectrum Supportability Determination 7. Information Support Plan Applicability Determination 8. Abbreviated Program Protection Plan (PPP) 9. Test Evaluation Master Plan (TEMP) 10. Environment Safety and Occupational Health Working Group (SSWG) Charter 11. Requirements Traceability Matrix (RTM) 12. Purchase Description 13. LAV ATM Integrated Master Schedule LAV AT System Safety Program Plan 15. System Safety CDRLs a. A024 Safety Assessment Report b. A025 System Safety Hazard Analysis Report c. A026 Operational and Support Hazard Analysis Report d. A027 Health Hazard Assessment Report (HHAR) e. A028 Hazardous Material Management Program (HMMP) and Pollution Prevention Report f. A029 Environmental Assessment 16. W56HZV-12-C-0046, Attachments, and Contract Modifications 17. Design Verification Test (DVT) Plan 18. Operational Mode Summary/Mission Profile (OMS/MP) Draft dated Mar 18, SL C 20. SL C 21. TM 08652C TM 08652C TM 08652C TM 08652C TM 08652C TM 08652C-34-5 Vol TM 08652C-34-5 Vol TM 08594C-10-2-LG 29. TM 08594C Design Verification Test (DVT) Report (Deliverable under Contract W56HZV-12-C-0046, CDRL A047) 31. Design Verification Test Report MFR 32. Anti-Tank Weapon System Loaders Protect MFR 33. LAV-AT Preliminary Human Factors Evaluation 34. LAV ATWS TIU Failure Assessment 35. LAV-AT Reliability Prediction and Documentation of Supporting Data 36. LAV-AT Reliability Prediction and DOC Sprtg Data-Appendix C Embedded 37. LAV-AT Safety Assessment Report 38. LAV-AT Safety Assessment Report- Appendix B Hazard Database-Embedded 39. LAV-AT Safety Assessment Report-FTA-Embedded 40. LAT-AT Software Requirements Specification 41. LAV-AT Software Requirements Specification-Appendix C Embedded 42. LAV-AT Technical Manuals 43. LAV-AT Technical Manual L C Embedded 44. LAV-AT Technical Manual SL C Embedded 45. LAV-AT Technical Manual TM 08652C Embedded
11 ATT/EXH ID Attachment 0005 PAGE 1 CLIN 0002AA PERFROMANCE BASED MILESTONE SCHEDULE Milestone: 1 Due Date: 31 March 2014 Amount: $54, (26%) CDRL Deliverable A002 DVT Test Monitor Report #5 A002 Risk Recon Detailed Risk Report Assessment #12 A002 Safety Technical Review and Safety Issues & Concerns Report #11 & #12 A002 TIR Summary Report #4&5 A003 Requirements Traceability Matirx - Update Milestone: 2 Due Date: 15 May 2014 Amount: $55, (26%) CDRL Deliverable A002 DVT Test Monitor Report - Final A002 Risk Decon Detailed Risk Report Assessment #13 & #14 A002 Safety Technical Review and Safety Issues & Concerns Report #13 A002 TIR Summary Report #6 A003 Requirements Traceability Matrix - Update Milestone: 3 Due Date: 30 June 2014 Amount: $55, (26%) CDRL Deliverable A002 Risk Recon Detailed Risk Report Assessment #15 A002 Safety Technical Review and Safety Issues & Concerns Report #14 & #15 A002 TIR Summary Report #7 A003 Requirements Traceability Matrix - Update Milestone: 4 Due Date: 15 August 2014 Amount: $45, (22%) CDRL Deliverable A002 Risk Recon Detailed Risk Report Assessment #16 & #17 A002 Safety Technical and Safety Issues & Concerns Report #16 A002 TIR Summary Report #8 & #9 A004 Test Inicident Scoring COnference Report A003 Requirements Traceability Matrix - Update A003 Systems Engineering Plan (Final) A003 Clinger Cohen Act Compliance Support Document (Final) A003 Information Assurnace Summary (Final) A003 Spectrum Certification Compliance Support Document (Final) A003 Registration of Mission Critical and Mission Essential (Final) 90% of total cost-subtotal Amount: $211,134.00
12 ATT/EXH ID Attachment 0005 PAGE 2 10% withholding based on final $ 23, acceptance of all milestones Total Amount $234,593.00
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