1333ND26QNB190292 AMD0001 Generator and ATS Minor Changes.pdf

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 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.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

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.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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:

D. OTHER (Specify type of modification and authority)

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.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

Attachment Page

PAGE 2 OF 13 1333ND26QNB1902920001

The purpose of this amendment (0001) is to incorporate minor changes:

A. Added the Incorporate the following received RFI with the government response to the subject solicitation:

ADD TEXT, CLINS 0001, 1001, 2001, 3001, and 4001: “One (1) semi-annual preventative maintenance service on 01-EMG-W5-001 in accordance with the SOW and attached generator job plans.” See below for more details.

ADD TEXT, CLINS 0006, 1006, 2006, 3006, and 4006: ”…, FT Collins, and Kauai…” See below for more details.

ADD TEXT, CLIN 0007: “…, FT Collins, and Kauai… .” See below for more details.

REMOVE/REVISE TEXT: Statement of Work, Section VI. ATTACHEMENTS:

09 JHA.xlxsAttachment 1 Annual Job Plan

B. The Offer Due Date, Block 8 of the Standard Form (SF) 1449, remains unchanged at July 21, 2026, no later than 3:00 PM (MT).

C. No other changes occur as a result of this amendment.

SCHEDULE Continued

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Base Year (BY), FMD-B, Annual PM Service

0001 Base Year (BY), FMD-B, perform one (1) annual preventative maintenance service in accordance with the SOW and attached generator job plans for the Boulder generators. One (1) semi-annual preventative maintenance service on 01-EMG-W5-001 in accordance with the SOW and attached generator job plans.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, and 01-EMG-W5-001

Period of Performance: 08/16/2026 to 08/15/2027

1.00 JB

Base Year (BY), FMD-B, NTIA, and Time & Frequency, Annual Load Bank Testing

0006 Base Year (BY), FMD-B, NTIA, and Time & Frequency, perform one (1) annual load bank testing in accordance with the SOW and attached job plan for the Boulder, FT Collins, and Kauai generators.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, 01-EMG-W5-001, EMG-W-018,

EMG-W-019, EMG-005, 81-EMG-026, EMG-H-016, 01-

P-EMG-029, EMG-020, and EMG-029

Base Year (BY), FMD-B, 1 5-year ATS Inspection

0007 Base Year (BY), FMD-B, perform one (1) five (5)-year ATS inspection in accordance with the SOW and attached job plan for the Boulder, FT Collins, and Kauai generators. EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025, EMG-028, 03-EMG-001, and 01-EMG- W5-001.

Option Year 1 (OY1), FMD-B, Annual PM Service

OPT

1001 Option Year 1 (OY1), FMD-B, perform one (1) annual preventative maintenance service in accordance with the SOW and attached generator job plans for the Boulder generators. One (1) semi-annual preventative maintenance service on 01-EMG-W5-001 in accordance with the SOW and attached generator job plans.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, and 01-EMG-W5-001

Period of Performance: 08/16/2027 to 08/15/2028

Option Year 1 (OY1), FMD-B, NTIA, and Time & Frequency, Annual Load Bank Testing

OPT

1006 Option Year 1 (OY1), FMD-B, NTIA, and Time &

Frequency, perform one (1) annual load bank testing in accordance with the SOW and attached job plan for the Boulder, FT Collins, and Kauai generators.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, 01-EMG-W5-001, EMG-W-018,

EMG-W-019, EMG-005, 81-EMG-026, EMG-H-016, 01-

P-EMG-029, EMG-020, and EMG-029

Period of Performance: 08/16/2027 to 08/15/2028

Option Year 2 (OY2), FMD-B, Annual PM Service

2001 Option Year 2 (OY2), FMD-B, perform one (1) annual preventative maintenance service in accordance with

PAGE 3 OF 13 1333ND26QNB1902920001

the SOW and attached generator job plans for the Boulder generators. One (1) semi-annual preventative maintenance service on 01-EMG-W5-001 in accordance with the SOW and attached generator job plans.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, and 01-EMG-W5-001

Period of Performance: 08/16/2028 to 08/15/2029

Option Year 2 (OY2), FMD-B, NTIA, and Time &

OPT

2006 Option Year 2 (OY2), FMD-B, NTIA, and Time &

Frequency, perform one (1) annual load bank testing in accordance with the SOW and attached job plan for the Boulder, FT Collins, and Kauai generators.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, 01-EMG-W5-001, EMG-W-018,

EMG-W-019, EMG-005, 81-EMG-026, EMG-H-016, 01-

P-EMG-029, EMG-020, and EMG-029

Period of Performance: 08/16/2028 to 08/15/2029

Option Year 3 (OY3), FMD-B, Annual PM Service

3001 Option Year 3 (OY3), FMD-B, perform one (1) annual preventative maintenance service in accordance with the SOW and attached generator job plans for the Boulder generators. One (1) semi-annual preventative maintenance service on 01-EMG-W5-001 in accordance with the SOW and attached generator job plans.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, and 01-EMG-W5-001

Period of Performance: 08/16/2029 to 08/15/2030

Option Year 3 (OY3), FMD-B, NTIA, and Time &

OPT

3006 Option Year 3 (OY3), FMD-B, NTIA, and Time &

Frequency, perform one (1) annual load bank testing in accordance with the SOW and attached job plan for the Boulder, FT Collins, and Kauai generators.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, 01-EMG-W5-001, EMG-W-018,

EMG-W-019, EMG-005, 81-EMG-026, EMG-H-016, 01-

P-EMG-029, EMG-020, and EMG-029

Period of Performance: 08/16/2029 to 08/15/2030

Option Year 4 (OY4), FMD-B, Annual PM Service

4001 Option Year 4 (OY4), FMD-B, perform one (1) annual preventative maintenance service in accordance with the SOW and attached generator job plans for the Boulder generators. One (1) semi-annual preventative maintenance service on 01-EMG-W5-001 in accordance with the SOW and attached generator job plans.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, and 01-EMG-W5-001

Period of Performance: 08/16/2030 to 08/15/2031

Option Year 4 (OY4), FMD-B, NTIA, and Time &

OPT

PAGE 4 OF 13 1333ND26QNB1902920001

Option Year 4 (OY4), FMD-B, NTIA, and Time & Frequency, perform one (1) annual load bank testing in accordance with the SOW and attached job plan for the Boulder, FT Collins, and Kauai generators.

EMG-001, EMG-003, EMG-013, EMG-014, 81-EMG-025,

EMG-028, 03-EMG-001, 01-EMG-W5-001, EMG-W-018,

EMG-W-019, EMG-005, 81-EMG-026, EMG-H-016, 01-

P-EMG-029, EMG-020, and EMG-029

Period of Performance: 08/16/2030 to 08/15/2031

PAGE 5 OF 13 1333ND26QNB1902920001

Table of Contents

Statement of Work

PAGE 6 OF 13 1333ND26QNB1902920001

CLAUSES

Statement of Work

PAGE 7 OF 13 1333ND26QNB1902920001

STATEMENT OF WORK

Generator and Automatic Transfer Switch Preventative Maintenance

NATIONAL INSTITUTE OF STANDARDS & TECHNOLOGY

United States Department of Commerce

325 Broadway Boulder, CO 80305

April 17, 2026

I. BACKGROUND INFORMATION

The National Institute of Standards and Technology Facility Maintenance Division Boulder (FMD-B) require services to perform preventative maintenance and repair of generators and automatic transfer switches at NIST locations in Boulder, Fort Collins Radio Station, and Kauai Radio Station.

II. PURPOSE

The Contractor shall provide maintenance services required to maintain NIST Owned Generators and Automatic Transfer Switches. The work is to be performed in accordance with this Statement of Work (SOW).

II. SPECIAL REQUIREMENTS

2.1.1 Pre-proposal site visit required.

2.1.2 Coordination of daily vehicle traffic lane shutdowns for the maintenance work with the COR.

2.1.3 Post-award meeting required

2.1.4 Provide repairs as separate line item in proposal

PLACE OF PERFORMANCE

The project is to be performed on the NIST Boulder campus, FT Collins Radio Station, and Kauai Radio Station.

REGULAR BUSINESS HOURS

See Attachment 1 - NIST Boulder General Contractor Requirements – Rev C, included in the contract for information on rules and requirements of performing work on the National Institute of Standards and Technology (NIST) sites in Boulder and Ft. Collins, Colorado.

PERIOD OF PERFORMANCE

The Project shall take one year to complete.

III. SPECIFIC REQUIREMENTS

The contractor is responsible for the following:

1. Performing the work as described in this SOW.

PAGE 8 OF 13 1333ND26QNB1902920001

2. Performing a site walk to fully understand the work required and the local conditions

3. Preparing and following a site-specific safety plan to be reviewed and accepted by

NIST Safety Staff.

4. Performing a daily Job Hazard Analysis (JHA) for maintenance activities.

5. Coordinating all work with the Contracting Officer’s Representative (COR)

Task 1 – Summary of the Work

1.3.1. General

1.3.1.1. Preventative maintenance and management shall include, but is not limited to the following:

1.3.1.2. Provide all labor, furnish and install materials, equipment and supplies to accomplish the preventative maintenance in accordance with the Performance Work Statement.

1.3.1.3. Delivery Schedule: This project must be completed 365 calendar days after NTP. With initial proposal and prior to commencement of work, the contractor must provide a proposed PM schedule to the COR for acceptance. Final schedule shall be agreed upon after NTP at post-award meeting.

1.3.1.4. Provide maintenance management and field supervision throughout the project duration.

1.3.1.5. Contractor must be familiar with the work required and local conditions affecting the work.

1.3.1.6. Ensure that the safety of the project is a top priority. Submit a site-specific safety plan with project proposal prior to commencement of work to the COR for acceptance.

1.3.1.7. Ensure due diligence and timely delivery of the project.

1.3.1.8. Correct errors and deficiencies in the series provided.

1.3.1.9. Cooperate with NIST Police and Security regarding site security. Contractor is responsible for ensuring its personnel meet all site access requirements. Provide a list of all anticipated employees at least two weeks in advance of their arrival. All employees must fill out specified background check forms for review by NIST Security before security badges will be issued. These forms will be typed.

1.3.1.10. Maintain a record set of all inspections, or other authorizations necessary for the work to proceed.

1.3.1.11. If “Hot Work” will be performed the contractor must pull a hot work permit through the COR twenty-four (24) hours in advance of beginning associated work.

1.3.1.12. Notify the COR of the work progress.

PAGE 9 OF 13 1333ND26QNB1902920001

1.3.1.13. The contractor is responsible for correcting any damage caused to the NIST Boulder side and field sites as a result of their maintenance work and returning the site to previous conditions at no cost to the Government.

1.3.1.14. The contractor shall perform clean-up of work areas after preventative maintenance is completed.

1.3.1.15. Contractor is responsible for scheduling work.

1.3.1.16. See COR for any conflicts associated with this Performance Work Statement, drawing and any appendixes.

1.3.2. Specification Section

1.3.2.1. The Contractor shall provide all labor, supervision, materials, tools, and equipment necessary to perform preventive maintenance and repair services for the National Institute of Standards and Technology (NIST) emergency generators and automatic transfer switches (ATS). The equipment covered under this Contract, along with the specific tasks to be performed, are identified in the Job Plans for Generators and Automatic Transfer Switches, which is hereby incorporated by reference. The required services shall include, but are not limited to, manufacturer-recommended preventive maintenance, diagnostic troubleshooting, routine repairs, and emergency repair services as needed to ensure continuous and reliable operation of the equipment. This Contract currently includes a total of sixteen (16) emergency generators and sixteen (16) automatic transfer switches. The generators vary in size, manufacturer, and kilowatt (kW) rating, and the Contractor shall be responsible for servicing all equipment in accordance with applicable manufacturer specifications and industry standards.

1.3.2.2. Pursuant to the requirements outlined in the Job Plans for Generators and Automatic Transfer Switches, the Contractor shall furnish the Government with a preventive maintenance schedule. The schedule shall, at a minimum, include the following information:

equipment identification, specific task to be performed, scheduled date for each task, and estimated duration for completion of each task. All preventive maintenance activities shall be performed in accordance with the approved schedule and completed in a timely manner, consistent with the frequencies and intervals specified for each task in the Job Plans.

1.3.2.3. The Job Plans and Equipment List, which includes the location of each piece of equipment, are attached hereto as Attachment 1 (Annual Job Plan), Attachment 1A (Semi Annual Job Plan), Attachment 2 (Five Year ATS Inspection Job Plan), Attachment 3 (Load Bank Testing), Attachment 4 (Equipment List), and Attachment 5 (Contract List). NIST shall provide the Contractor with a list of all generators, which shall include, at a minimum, the model, manufacturer, and serial number for each generator.

1.3.2.4. A line item CLIN for repair, rental, and replacement is established under this Contract. Funding for this CLIN is provided; however, work under this CLIN is not guaranteed to the Contractor. Upon identification of a required repair, the Contracting Officer’s Representative (COR) shall request a quote from the Contractor to perform the

PAGE 10 OF 13 1333ND26QNB1902920001

necessary repair(s). The COR shall submit the completed quote, verification of available funds, and a Work Order Approval package to the Contracting Officer (CO). No repair work shall commence until written approval is received from the CO. All labor performed under this CLIN shall be compensated in accordance with the rates established in this Contract. The Government reserves the right to separately procure any repairs it determines to be outside the scope of this Contract, beyond the Contractor’s capabilities, and/or if the submitted pricing exceeds the Government’s cost estimate.

1.3.2.5. NIST operates various generators of differing brands and sizes. The Contractor shall perform one (1) semi-annual (six-month) and one (1) annual preventive maintenance service on generators located at the following sites: Fort Collins, Colorado at the WWVB and WWV radio stations, NIST Boulder Campus, and the Kauai radio station site. The specific generators to be serviced, including location and applicable preventive maintenance requirements, are identified in Attachment 4, “EMG Equipment List,” which is incorporated herein by reference.

1.3.2.6. NIST shall provide the Contractor with an asset list of all generators, automatic transfer switches, and associated Job Plans. Annual preventive maintenance on the sixteen

(16) generators shall be scheduled to commence on the first working day of the month, as determined by NIST. The Contractor shall complete all preventive maintenance for that month by the last day of the month in which the preventive maintenance was issued. All maintenance checklists, including those generated from annual preventive maintenance and semi-annual operational testing, shall be submitted to the Contracting Officer’s Representative (COR) within fourteen (14) calendar days following completion of the respective maintenance or testing activities.

1.3.2.7. The Contractor shall promptly report to the Contracting Officer’s Representative (COR) any deficiencies identified during preventive maintenance activities. The COR shall determine whether such deficiencies are to be corrected by the Contractor, by Government personnel, or by another subcontractor. For deficiencies assigned to the Contractor, the COR shall request an itemized quote. The quote shall include, at a minimum, the cost of materials, estimated labor hours, applicable labor rates, and any additional charges, including but not limited to mileage or other miscellaneous expenses. No corrective work shall commence without prior approval from the Contracting Officer.

INSEPECTIONS & ACEPTANCE

In addition to the inspection and acceptance terms articulated in the specific FAR clause that allows the Government reserves the right to perform such performance tests and evaluations as defined below to verify specified system performance. Such tests and evaluations, if performed, shall be conducted within the environment that the system is to be operated. The Contractor has the right to be present during the tests and evaluations, if performed, at the Contractor’s expense.

IV. REQUIREMENTS FOR CONTRACTOR PERSONNEL

SAFETY: The Contractor employee must be responsible for knowing and complying with Attachment 1 - NIST Boulder General Contractor Requirements – Rev C, included in the

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contract for information on rules and requirements of performing work on the National Institute of Standards and Technology (NIST) sites in Boulder and Ft. Collins, Colorado.

SECURITY: See Attachment 1 - NIST Boulder General Contractor Requirements – Rev C, included in the contract for information on rules and requirements of performing work on the National Institute of Standards and Technology (NIST) sites in Boulder and Ft. Collins, Colorado.

IDENTIFICATION BADGES: The Contractor employee must be responsible for knowing and complying with Attachment 1 - NIST Boulder General Contractor Requirements – Rev C, included in the contract for information on rules and requirements of performing work on the National Institute of Standards and Technology (NIST) sites in Boulder and Ft. Collins, Colorado.

REFERENCE STANDARDS

The Contractor shall, without addition expense to the Government, be responsible for obtaining any necessary licenses and permits, and for complying with any Federal, State, and municipal laws, codes, and regulations applicable to the performance of the work. The Contractor shall also be responsible for all damages to persons or property that occur as a result of the Contractor’s fault or negligence. The Contractor shall also be responsible for all materials delivered and work performed until completion and acceptance of the entire work, except for any completed unit of work which may have been accepted under the contract.

V. SCHEDULE OF DELIVERABLES

Deliverable Number Description Format Due Date

Quantity

1 Final Schedule Microsoft Project After Award and prior to Service

2 Site-Specific Safety Plan

PDF After Award and prior to Service

3 JHA PDF Before Maintenance

Begins

4 Preventative Maintenance

Records

PDF 14 Days After Work Is

Completed

STANDARDS OF ACCEPTANCE: See Attachment 1 - NIST Boulder General Contractor Requirements – Rev C, included in the contract for information on rules and requirements of performing work on the National Institute of Standards and Technology (NIST) sites in Boulder, Ft. Collins, Colorado, and Kauai, Hawaii.

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VI. ATTACHMENTS:

01 Annual Job Plan.pdf 02 Semi-Annual Job Plan.pdf 03 Five Year ATS Job Plan.pdf 04 Load Bank Test Job Plan.pdf 05 EMG Equipment List.xlxs 06 EMG Contract List.xlxs 07 NIST Boulder General RequirementsRev C 2020.pdf 08 Safety Plan Checklist.pdf 09 JHA.xlxs 10 PPQ Performance.pdf

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1.2

C:\PERFORM\FORMS\S30.FRP

Forms Management

C:PERFORMFORMSS30.FRP

Acrobat PDFWriter 2.01 for Windows D:19971010095222 D:19990614133004 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 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.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQUISITION NUMBER

5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6)

CODE

STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

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.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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:

D. OTHER (Specify type of modification and authority) 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.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY

CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer) Previous edition unusable

325 BROADWAY

BOULDER CO 80305-3328