Standard Form 30 - Amendment Of Solicitation / Modification Of Contract

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1. CONTRACT ID CODE
PAGE
OF
PAGES
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1
3
2. AMENDMENT/MODIFICATION NUMBER
3. EFFECTIVE DATE
4. REQUISITION/PURCHASE REQUISITION NUMBER
5. PROJECT NUMBER (If applicable)
PS09
See Block 16C
QT2A1FA
6. ISSUED BY
CODE
7. ADMINISTERED BY (If other than Item 6)
CODE
U.S. General Services Administration
1800F Street NW – 4th floor (QT2A1FA)
Washington, DC 20405-0001
(X)
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)
9A. AMENDMENT OF SOLICITATION NUMBER
Futron
14073 Crown Court
9B. DATED (SEE ITEM 11)
Woodbridge VA, 22193-1458
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
GS00Q12NSD0010
10B. DATED (SEE ITEM 13)
October 21, 2011
CODE
FACILITY CODE
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
copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;
or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic
communication 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 NUMBER AS DESCRIBED IN ITEM 14.
CHECK ONE
A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER
NUMBER 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 43.103(b).
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
FAR 43.103 (a) (3) Bilateral Modification by Mutual Agreement Between the Parties
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor
is not
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 CONTINUATION SHEET
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.
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
15A. NAME AND TITLE OF SIGNER (Type or print)
June W. Adams
Director, Contract Administration
Ruth D. McDuffie, Contracting Officer
15B. CONTRACTOR/OFFEROR
15C. DATE SIGNED
16B. UNITED STATES OF AMERICA
16C. DATE SIGNED
June W. Adams
RUTH MCDUFFIE
Digitally signed by RUTH MCDUFFIE
Digitally signed by June W. Adams
DN: c=US, o=U.S. Government, ou=General Services Administration, cn=RUTH MCDUFFIE,
DN: cn=June W. Adams, o=Futron Incorporated, ou=Contracts Manager,
0.9.2342.19200300.100.1.1=47001003206186
, c=US
Date: 2016.12.16 06:18:24 -05'00'
Date: 2016.12.15 19:03:01 -05'00'
12-15-2016
12/15/2016
(Signature of person authorized to sign)
(Signature of Contracting Officer)
STANDARD FORM 30 (REV. 11/2016)
Previous edition unusable
Prescribed by GSA FAR (48 CFR) 53.243

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