11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
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1 1. CONTRACT 10 CODE AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT U 2 AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (/f applicable) Jun-2009 N MR N/A 6. ISSUED BY CODE N ADMINISTERED BY (If other than Item 6) S4402A SPECIALTY CENTER ACQUISITIONS NAVFAC CODE RAQNO/NAVAL BASE VENTURA COUNTY 1205 MILL RD BLDG 850 PORT HUENEME CA megan.ault@navy.mil DCMA Dallas 600 NORTH PEARL STREET DALLAS TX [Xl 8. NAME AND ADDRESS 32ZGO OF CONTRACTOR (No., street, county, State, and Zip Code) 9B. 9A. DATED AMENDMENT (SEE /TEM OF 11) SOLICITATION NO. I FACILITY CODE 17 -J un B. Lafayette 345 DATED Doucet (SEE LA N D-4906-EJG1 ITEM Rd Suite 13) 200C 10A. MODIFICATION OF CONTRACT/ORDER NO. 11. 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 one (1) copy 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 ACKNOWLEDGEMENT 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. ~ (0) I A. NO. THIS IN ITEM CHANGE 10A. ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE in THE CONTRACT ORDER [ ] [Xl I 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 (b). [] I C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: [] I D. OTHER (Specify type of modification and authority) E. IMPORTANT: Contractor [ ] is not, [X] is required to sign this document and return _1_ copies to the issuing office. 14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) SEE A. NAME AND TITLE OF 16B. SIGNER UNITED Is/Janet (Type STATES orl print) Harouch OF AMERICA 23-Jul C. 21-Jul C. DATE DATE SIGNED SIGNED 16A. Janet (Signature NAME L Harouch, AND of Contractmg TITLEContracting OF Officer) CONTRACTING OfficerOFFICER (Type or print) NSN PREVIOUS EDITION UNUSABLE STANDARD FORM 30 (Rev ) Prescribed by GSA FAR (48 CFR)
2 NOOI D-4906 EJGl 20f2 GENERAL INFORMATION I. The purpose of this modification is to exercise Option I - Phase 2 SPM Buoy refurbishment. 2. Acceptance of this modification by the contractor constitutes an accord and satisfaction and represents payment in full for both time and money and for any and all costs, impact effect, and for delays and disruptions arising out of, or incidental to, the work as herein revised. 3. All other terms and conditions remain unchanged. A conformed copy of this Task Order is attached to this modification for information purposes only. The total amount of funds obligated to the task is hereby increased by to. --I CLIN/SLIN Type Of Fund From ($) By ($) OTHER OTHER 0.00 from To ($) The total value of the order is hereby increased by $ :from ~T Ito CLIN/SLIN Type Of Fund OTHER OTHER From ($) 0.00 By ($) To ($)
3 NOOl78-06-Q-4906 EJGl I of II SECTION B SUPPLIES OR SERVICES AND PRICES CLIN - SUPPLIES OR SERVICES For Cost Type Items: Item Supplies/Services Qty Unit Est. Cost Fixed Fee CPFF Phase 1 SPM Buoy Inspection in accordance with the Statement of Work, attachment 1; including data. (OTHER) (OTHER) Option 1 - Phase 2 SPM Buoy refurbishment in accordance with the Statement of Work, attachment 1; including data. (OTHER) (OTHER) (OTHER) 1.0 Lot 1.0 Lot The contract typc will bc a Cost Plus Fixed Fcc (CPFF) contract. Offerors shall include costs for itcm 1000, phase I - inspcction only. Item refurbishment is an unpriced option which will be exercised by task order modification upon successful completion of phase I and negotiation of phase 2 costs.
4 NOOI78-06-D-4906 EJGI 2 of II SECTION C DESCRIPTIONS AND SPECIFICATIONS Contractor shall perform work as specified in the Statement of Work, attachment I. Work shall be accomplished in two phases. Phase I consists of inspection of the buoy and identification of the required work to refurbish the buoy in accordance with buoy manufacturer standards. As part of phase I, CDRL Item A008 the contractor shall submit a detailed cost estimate for phase 2 work which is the actual refurbishment within 30 days after inspection completion. Phase 2 exercise of option and notice to proceed will be given by the Contracting Officer by task order modification.
5 NOOI78-06-D-4906 EJGI 3 of II SECTION D PACKAGING AND MARKING Packaging and Marking shall be in accordance with Section D of the SeaPort-e Multiple Award Basic Contract. All Deliverables shall be packaged and marked law Best Commercial Practice.
6 DELIVERY ORDER NO. NOOI78-06-D-4906 EJGl 5 of II SECTION F DELIVERABLES OR PERFORMANCE CLiN - DELIVERIES OR PERFORMANCE Refer to Section B and the SOW for specific deliverables.
7 DELIVERY ORDER NO. NOa EJGI 6 of II SECTION G CONTRACT ADMIN ISTRA TION DATA INVOICING INSTRUCTIONS AND PAYMENT (WAWF INSTRUCTIONS) (MAR 2006) (a) Invoices for goods received or services rendered under this contract shall be submitted electronically through Wide Area Work Flow - Receipt and Acceptance (WAWF): (1) The vendor shall self-register at the web site Vendor training is available on the Internet at Additional support can be obtained by calling the NAVY WAWF Assistance Line: WAWF (9293). (2) WAWF Vendor guides "Quick Reference" are located at the following web site: avyaos/contenuview/full/3521 (3) Select the invoice type within WAWF as specified below. Back up documentation (such as timesheets, etc.) can be included and attached to the invoice in WAWF. Attachments created in any Microsoft Office product are attachable to the invoice in WAWF. Total limit for the size of files per invoice is 5 megabytes. (b) The following information, regarding invoice routing DODAAC's, must be entered for completion of the invoice in WAWF: WAWF Invoice Type: Access the following web site for information on invoice types: on Vendor, then Determine Type of Document to Create. Issuing Office DODAAC: N62583 Admin Office DODAAC: See block 6 of Task Order front page. Inspector DODAAC (if applicable): N69218 Ship To DODAAC (for Combo): N69218 Acceptor OODAAC (if applicable): N62583 Local Processing Office: N/A Leave Blank OCAA Office OODAAC (Cost Voucher Approver - if applicable): HAA21 0 Paying Office DODAAC: See Block 12 of Task Order front page (c) The contractor shall submit invoices I cost vouchers for payment per contract terms. Contractors approved by DCAA for direct billing will not process vouchers through DCAA, but may submit directly to DFAS. Final voucher submission will be approved by the ACO. Only DCAA is authorized to approve interim vouchers for payment. (d) The Government shall process invoices I cost vouchers for payment per contract terms. (e) For each invoice I cost voucher submitted for payment, the contractor shall also the WAWF automated invoice notice directly to the following points of contact: The TOM (Task Order Manager) assigned to this task order is Mr. Nate Sinclair at Nate.Sinclair@navy.mil
8 NOO D-4906 EJGI 7 of II G14S CONTRACTOR'S SENIOR TECHNICAL REPRESENTATIVE (AUG 2005) Contractors: Fill-in the information required below and submit it as an attachment to your proposal. The contractor's senior technical representative, point of contact for performance under this task order is: Name: Matthew Marcy Title: President Mailing Address: 626C Admiral Drive #214, Annapolis. MD Address:matt@truston.us Telephone: (0), (m) FAX: G17S TOM APPOINTMENT (AUG 2005) (a) The Task Order Ordering Officer hereby appoints the following individual as the Task Order Manager (TOM) for this task order: Name: Nate Sinclair Mailing Address: NFESC, rd Ave., Code ESC52, Port Hueneme, CA Telephone: DSN 551- (b) The TOM is responsible for those specific functions assigned in the Task Order Administration Plan, attached. (c) Only the Task Order Ordering Officer has the authority to modify the terms of the task order. Therefore, in no event will any understanding, agreement, modification, change order, or other matter deviating from the terms of the basic contract or this task order between the contractor and any other person be effective or binding on the Government. If, in the opinion of the contractor, an effort outside the existing scope of this task order is requested, the contractor shall promptly notify the Task Ordering Office in writing. No action shall be taken by the contractor unless the Task Order Ordering Officer, or basic contract PCO has issued a formal modification. CONTRACTING OFFICER: Janet Harouch, (805) , janet.harouch@navy.mil Specialty Center Acquisitions, NAVFAC (SCAN), Code RAQNO, Naval Base Ventura County, 1205 Mill Rd, Bldg 850, Port Hueneme, CA CONTRACT SPECIALIST: Lindsay George, (805) , Lindsay.b.george@navy.mil
9 DELIVERY ORDER NO. NOO EJGl 4 of 11 SECTION E INSPECTION AND ACCEPTANCE Upon completion of all work and final submission of all data items, the contractor's Senior Technical Representative shall prepare and sign a Certificate of Final Acceptance memorandum, and submit it to the TOM for signature. The contractor shall include the fully signed memorandum with its final invoice. Inspection and Acceptance shall be in accordance with Section E of the SeaPort-e Multiple Award 1010 Basic Contract for Firm Fixed Price Task Orders. Packaging and Marking shall be in accordance with Section D of the SeaPort-e Multiple Award 1010 Basic Contract.
10 NOO EJGI 8 of 11 Specialty Center Acquisitions, NAVFAC (SCAN), Code RAQNO, Naval Base Ventura County, 1205 Mill Rd, Bldg 850, Port Hueneme, CA Please send courtesy copies of invoices to: NAVFACSW SCCC Invoices@navy. rni1 and to the above contract specialist. Accounting Data SLINID PR Number Amount 1000 DESC-MR LLA : AA 97XXXX4930 5CFO DESC-MR MREP CLIN (1001) S33150 Standard Number: DESC-MR Project No. P P10078 MOD LLA : AA 97XXXX4930 5CFO DESC-MR MREP CLIN (1001) S33150 Standard Number: DESC-MR Funding for CLIN 1000 MOD "IIIIIIIII~I LLA : AB 97XXXX4930 5CFO SP0600MR MREP CLIN (1001) S33150 Standard Number: SP0600MR LLA : AA 97XXXX4930 5CFO DESC-MR MREP CLIN (1001) S33150
11 NOO EJGl 90fll SECTION H SPECIAL CONTRACT REQUIREMENTS H-XX NOTIFICATION CONCERNING DETERMINATION OF SMALL BUSINESS SIZE STATUS For the purposes of FAR clauses , NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE , NOTICE OF TOTAL HUBZONE SET-ASIDE, , NOTIFICATION OF COMPETITION LIMITED TO ELIGIBLE 8(A) CONCERNS, and NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET ASIDE, the determination of whether a small business concern is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the size standards in this solicitation, and further, meets the definition of a HUBZone small business concern, a small business concern certified by the SBA for participation in the SBAs 8(a) program, or a service disabled veteranowned small business concern, as applicable, shall be based on the status of said concern at the time of award of the SeaPort-e MACs and as further determined in accordance with Special Contract Requirement H-19. H20S INSURANCE - WORK ON A GOVERNMENT INST ALLA non The following types of insurance are required in accordance with the clause entitled, Insurance - Work On A Government Installation (FAR ), and shall be maintained in the minimum amounts shown: (I) Comprehensive General Liability: $200,000 per person and $500,000 per accident for bodily injury. (2) Automobile Insurance: $200,000 per person and $500,000 per accident for bodily injury and $20,000 per accident for property damage. (3) Standard Workmen's Compensation and Employer's Liability Insurance (or, where maritime employment is involved, Longshoremen's and Harbor Worker's Compensation Insurance) in the minimum amount of$ioo,ooo. H52S PRIOR WRITTEN PERMISSION REQUIRED TO SUBCONTRACT (FEB 2007) None of the services required by this task order shall be subcontracted to or performed by persons other than the contractor, the contractor's employees, or those subcontractors which were proposed and approved in the initial offer, without the prior written approval of the Task Order Ordering Officer. H-355 CONTRACTOR IDENTIFICATION (DEC 1999) (a) Contractor employees must be clearly identifiable while on Government property by wearing appropriate badges. (b) Contractor employees are required to clearly identify themselves and the company they work for whenever making contact with Government personnel by telephone or other electronic means.
12 NOO D-4906 E1GI 10 of 11 SECTION I CONTRACT CLAUSES In accordance with the SeaPort-e Multiple Award basic contract for a Cost Plus Award Fee task order Protection of Government Buildings, Equipment and Vegetation (Apr 1984)
13 NOOI78-06-D-4906 EJGI II of II SECTION J LIST OF ATTACHMENTS Exhibit A, Contract Data Requirements List, DO 1423 Attachment I, Statement of Work dated 09 April 2008
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