52000QR260025236- CGC Frederick Mann- FM200 & Galley Hood Inspection

Statement of Work (SOW) For CGC FREDERICK MANN’s FM200 and Galley Hood Inspections 1. Background and Current Observed Issues CGC FREDERICK MANN is requesting inspection and testing for the installed fire suppression systems in accordance with standard maintenance procedures. 2. REFERENCES CG MPC R-A-8843, R-102 GALLEY FIRE SUPPRESSION SYSTEM OPERATION TEST/CHECK CG MPC N30050.D, GALLEY HOOD CONTR FIRE SYS CG MPC N31015.D FM-200 FIRE PROT SYS (HULLS 33-ON) 3. REQUIREMENTS Contractor must submit a resume that includes the performance of fire suppression system maintenance aboard CG assets. Performance of work aboard FREDERICK MANN must be IAW the attached MPC’s R-A-8843, N30050.D and N31015.D. 4. PERIOD OF PERFORMANCE The window of availability for the required services is 01 July 2026 to 31 July 2026. All work must be finalized prior to the end of this window. The Contractor shall contact the Cutter POC upon contract award and no later than 5 calendar days prior to the start of the availability window to finalize the exact dates and duration of the service visit. Vendor shall state in their proposal the amount of time the job is expected to take. 5. PLACE OF PERFORMANCE USCG Base Kodiak 614 Seafarer Dr Kodiak, AK 99615 Cutter Point of Contact: EMC Alex Hannemann Cell: (907) 217-5593 Email: Alex.s.hannemann@uscg.mil Contracting Officer Technical Representative (COR): Jason Devin Office: (206) 815-1382 Email: Jason.m.devin2@uscg.mil -- 1 of 33 -- U.S. COAST GUARD COMPUTERIZED MAINTENANCE SYSTEM WPC-154 N30050.D REV'D 09/15/20 ASSET NUMBER OPERATING ACTIVITY MAINTENANCE ACCOMPLISHED MAINTENANCE DUE DATE ASSET HOURS DATE ASSET HOURS MO DAY YEAR MO DAY YEAR ZULU DATE ZULU TIME MO DAY YEAR ITEM 1 DUE CMS CODE ACTION DESCRIPTION CEINUM N30050 INSPECT GALLEY HOOD CONTR FIRE SYS P3-B000-001 SCHEDULED UNSCHEDULED DISCREPANCIES FOUND: NO_____ YES_____ MAN HOURS: MK___.___DC___.___EM___.___ET___.___IT___.___GM___.___BM___.___FN___.___SN___.___ME___.___OTHER___.___ IF DISCREPANCIES ARE FOUND REMARKS ARE REQUIRED TECHNICIAN'S SIGNATURE TECHNICIAN'S ID * ASTERISK INDICATES QA REQUIRED QA REFERENCES: DWG 154-WPC-555-301, Fixed Fire Extinguishing System Diagram DWG 154B-WPC-555-301, Fixed Fire Extinguishing System Diagram DWG 154-WPC-640-201, Living Compartments and Arrangements DWG 154B-WPC-640-201, Living Compartment and Arrangements MPC R-A-8843 TP 8057-651-A, Ranger Hood Fire Fighting System-Model R-102-1T-4N-6F REVIEWED BY LOG YN DATA ENTRY COMPLETED Distribution Statement D: Distribution authorized to the DHS/CG/DoD and their contractors Administrative/Operational use, 08/25/20. Other requests shall be referred to the appropriate asset product line. WARNING: This document contains technical data whose export is restricted by the Arms Export-Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C. App 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25. DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5200.22-M, National Industrial Security Program Operating Manual, Section 5-705 or DoD 5200.1-R, Information Security Program Regulation, Chapter VI, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document. PRIVACY ACT STATEMENT Authority: 44 U.S.C. 3101; 44 U.S.C. 3534; 5 U.S.C. §552a (e)(3); and Executive Order 9397. Purpose: To account for scheduled and unscheduled maintenance performed on CG aircraft and surface assets. Routine Uses: Authorized CG personnel will use this information to document scheduled and unscheduled maintenance, man-hours expended, and the technician respon- sible for tasks performed on CG aircraft and surface assets. Any external disclosures of data within this record will be made in accordance with DHS/ALL-004, General Information Technology Access Account Records, 77 Federal Register 70792, November 27, 2012. Disclosure: Furnishing your Tech ID is voluntary; however, the inability to collect this information could result in untimely or incomplete Asset Computerized Maintenance System reports or the inability for the CG to make informed decisions regarding manpower analysis. Page 1 of 4 -- 2 of 33 -- U.S. COAST GUARD COMPUTERIZED MAINTENANCE SYSTEM WPC-154 N30050.D REV'D 09/15/20 ASSET NUMBER OPERATING ACTIVITY MAINTENANCE ACCOMPLISHED MAINTENANCE DUE DATE ASSET HOURS DATE ASSET HOURS MO DAY YEAR MO DAY YEAR MPC IS A COMBINATION OF R-102 SYSTEM TEST, GALLEY HOOD PIPING IN- SPECT, AND FUSIBLE LINK REPLACE. EPOS SHALL SUBMIT SERVICE REQUEST THROUGH THEIR SECTOR EO TO THE SFLC ASSET MANAGER INBOX 60 DAYS PRIOR TO REQUIRED DUE DATE FOR ANNUAL INSPECTION. COMPLETE AND SUBMIT SURFACE ASSET SERVICES FORM 2455. http://10.38.65.78/SFLCFormsLibrary/FormDoc.ashx?FormID=5 REVIEWED BY LOG YN DATA ENTRY COMPLETED DESTRUCTION NOTICE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document. Page 2 of 4 -- 3 of 33 -- U.S. COAST GUARD COMPUTERIZED MAINTENANCE SYSTEM DAMAGE CONTROL R-A-8843 REV'D 10/31/19 1 R-102 GALLEY FIRE SUPPRESSION SYSTEM OPERATION TEST/CHECK SYSTEM: N3 Firefighting system-General SUBSYSTEM: N-300 Firefighting systems-General COMPONENT: Extinguishing System, P/N: R-102-1T-02, CAGE: 03670, NIIN: 013699819 PERIODICITY EVENT: NONE NUMBER OF COMPONENTS: 1 TASK HOURS: 8.0 PERSONNEL: 1 Contractor 1 DC 1 MK LOCATION: Galley SOURCE DOCUMENTS: TP 3924-555-A, R-102 Restaurant Fire Suppression System TP 4563B-555-A, Fire Suppression System-Model R-102 TP 7427-651-A, R-102 Restaurant Fire Suppression System TP 8057-555-A, Range Hood Fire Fighting System R-102-1T-4N-6F Distribution Statement D: Distribution authorized to the DHS/CG/DoD and their contractors Administrative/Operational use, 08/08/19. Other requests shall be referred to the appropriate asset produc…