19USUN24P0064-P00002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE

OF

PAGES

2. AMENDMENT/MODIFICATION NO.

Modification No. 00002

3. EFFECTIVE DATE

12 Jun 2025

4. REQUISITION/PURCHASE REQ. NO.

PR12928657-V3

5. PROJECT NO.

(If applicable)

6. ISSUED BY

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

USUN NEW YORK

799 UNITED NATIONS PLAZA US MISSION TO THE UNITED NATIONS

NEW YORK, NY

UNITED STATES

10017-3505

8. NAME AND ADDRESS OF CONTRACTOR (NO., street,city,county,State,and ZIP Code)

9a. AMENDMENT OF SOLICITATION NO.

DEBORAH FRANCIS MBA

INTEGRA ACCOUNTING AND BOOKKEEPING SERVICES, LLC

9b. DATED (SEE ITEM 11)

2 GREENWOOD DRIVE

GOSHEN, NY

UNITED STATES

10924-2516

10a. MODIFICATION OF

CONTRACT/ORDER NO.

19USUN24P0064

10b. DATED (SEE ITEM 13) 20 Feb 2025

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 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)

1900-2024--19___401130002-1070-IO----2571--166184-------- $-12,609.84USD

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) 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 date, 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:

Mutual Agreement of Parties D. OTHER (Specify type of modification and authority)

FAR 52.249-8

E. IMPORTANT: Contractor is not, is required to sign this document and return _2_ copies to the issuing office.

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

The purpose is modification is to terminate for Default, due to the contractor's poor management of the contract leading to missed payments, overpayments, and default with state compliance

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 OF CONTRACTING OFFICER

Shantae Mollison

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C.

DATE

SIGNED

12 Jun

NSN 7540-01-152-807

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

Page: 1 of 4

19USUN24P0064-P00002

Line Items 19USUN24P0064-P00002: USUN ORE Payroll Services Sep 2024 - Sep 2025

ITEM NO. SUPPLIES OR SERVICES QUANTITY

ORDERED UNIT UNIT PRICE AMOUNT

0001 Payroll Services (Option Year 2)

i. Payroll processing by receiving electronic funds transfer from U.S. Treasury account in advance to remit payment to employees via direct deposit.

ii. Payroll reports provided to employer.

iii. File state tax returns and remit payments for all payroll tax liabilities according to state guidelines.

iv. Remit quarterly estimated tax payments for all Federal payroll tax liabilities electronically to the IRS.

v. Prepare end of year Schedule H supplement to annual 1040 tax return.

vi. Year-end filing of employer W-2 Wage and

Tax Statements.

vii. Workers Compensation & Disability

Insurance Compliance.

1.00

0.00

1.00 year year

$24,117.19USD

($12,058.59USD)

$12,058.60USD

$24,117.19USD

($12,058.59USD)

$12,058.60USD

0002 Placement Services for Household Staff (Option

Year 2)

Vet and provide resumes for candidates to work at an official U.S. government residence, typically on an as-needed basis during a transition in leadership. Position types requested include full-time Residence Manager, full-time Chef, full-time Housekeeper, and fulltime or part-time Chef/Housekeeper.

1.00

0.00

1.00 job job

$551.25USD

($551.25USD)

$0.00USD

$551.25USD

($551.25USD)

$0.00USD

Previous Total: USD $24,668.44 Modification Total: USD ($12,609.84) Grand Total:

(Includes Discounts)

USD

$12,058.60

Page: 2 of 4

ORDER FOR SUPPLIES OR SERVICES

IMPORTANT: Mark all packages and papers with contract and/or order numbers. PAGE OF PAGES

1. DATE OF ORDER

19 Feb 2025

2. CONTRACT NO.(If any) 6. SHIP TO:

19USUN24P0064-P00001, USUNY

3. ORDER NO.

19USUN24P0064-P00001

4. REQUISITION/REFERENCE NO.

PR12928657-P00001

a. NAME OF CONSIGNEE

US MISSION TO THE UNITED NATIONS

5. ISSUING OFFICE (Address correspondence to)

USUN NEW YORK

799 UNITED NATIONS PLAZA US MISSION TO THE UNITED

NATIONS

NEW YORK, NY

10017-3505 Contact Name: Kendra D Kirkland Phone: 212-415-4104 Email: KirklandKD@state.gov

b. STREET ADDRESS

799 UNITED NATIONS PLAZA

c. CITY

NEW YORK

d. STATE

NY

e. ZIP CODE 10017-3505

f. SHIP VIA

7. TO: 8. TYPE OF ORDER

a. NAME OF CONTRACTOR

DEBORAH FRANCIS MBA

DUNS NUMBER

CONTACT PHONE NUMBER

8458006005

E-MAIL:

integra23599@gmail.com

FAX:

8454777050

a. PURCHASE ORDER

REFERENCE YOUR: _______

Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.

b. DELIVERY ORDER -- Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.

b. COMPANY NAME

INTEGRA ACCOUNTING AND BOOKKEEPING SERVICES, LLC

c. STREET ADDRESS

2 GREENWOOD DRIVE

d. CITY

GOSHEN

e. STATE

NY

f. ZIP CODE 10924-2516

10. REQUISITIONING OFFICE

USUN NEW YORK

9.ACCOUNTING AND APPROPRIATION DATA

1900-2024--19___401130002-1070-IO----2571--166184--------

$24,668.44USD

11. BUSINESS CLASSIFICATION (Check appropriate box(es)) 12. F.O.B. POINT Destinationa. SMALL b. OTHER THAN SMALL c. DISADVANTAGED

d. WOMEN-OWNED e. HUBZone f. SERVICE-DISABLED VETERAN-OWNED

g. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE

UNDER THE WOMEN-OWNED SMALL BUSINESS PROGRAM

h. EDWOSB

13. PLACE OF 14. GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT ON OR BEFORE (Date) 18 Oct 2024

16. DISCOUNT TERMS

a. INSPECTION b. ACCEPTANCE

17. SCHEDULE (See reverse for Rejections)

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b) Modification

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

QUANTITY ACCEPTED

(g)

SEE LINE ITEM DETAIL

SEE BILLING

INSTRUCTIONS ON

REVERSE

18. SHIPPING POINT 19. GROSS SHIPPING

WEIGHT

20. INVOICE NO. 17(h) TOT.

(Cont. pages)

21. MAIL INVOICE TO:

a. NAME

USUN NEW YORK

b. STREET ADDRESS (or P.O. Box)

799 UNITED NATIONS PLAZA

US MISSION TO THE UNITED NATIONS

$24,668.44USD 17(i)

(GRAND

TOTAL)

c. CITY

NEW YORK

d. STATE

NY

e. ZIP CODE 10017-3505

22. UNITED STATES OF AMERICA BY (Signature) 23. NAME Typed Gregory J Campbell

TITLE: CONTRACTING/ORDERING OFFICER

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

OPTIONAL FORM 347(REV. 9/2012)

Prescribed by GSA/FAR 48 CFR 53.213(f)

Page: 3 of 4

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

PAGE NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

DATE OF ORDER

19 Feb 2025

TITLE

USUN ORE Payroll Services Sep 2024 - Sep 2025

CONTRACT NO.

ORDER NO.

19USUN24P0064-P00001

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

Modification

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

QUANTITY

ACCEPTED

(g)

0001 Payroll Services (Option Year 2)

i. Payroll processing by receiving electronic funds transfer from U.S. Treasury account in advance to remit payment to employees via direct deposit.

ii. Payroll reports provided to employer.

iii. File state tax returns and remit payments for all payroll tax liabilities according to state guidelines.

iv. Remit quarterly estimated tax payments for all Federal payroll tax liabilities electronically to the IRS.

v. Prepare end of year Schedule H supplement to annual 1040 tax return.

vi. Year-end filing of employer W-2 Wage and Tax Statements.

vii. Workers Compensation & Disability Insurance Compliance.

1.00 year $24,117.19USD $24,117.19USD

0002 Placement Services for Household Staff (Option Year 2)

Vet and provide resumes for candidates to work at an official U.S. government residence, typically on an as-needed basis during a transition in leadership. Position types requested include full-time Residence Manager, full-time Chef, full-time Housekeeper, and fulltime or part-time Chef/Housekeeper.

1.00 job $551.25USD $551.25USD

TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17h) $0.00USD

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

OPTIONAL FORM 348 (REV. 9/2012)

Prescribed by GSA - FAR (48 CFR) 53.213(f)

Page: 4 of 4