A0004_47QMCB24R0001_SF30_signed_2024-02-06.pdf
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- Solicitation number
- 47QMCB24R0001
- Issued by
-
GSA Federal Acquisition Service
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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: copies to the issuing office.is required to sign this document and returnContractor is not
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE
4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)
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)
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
is not extended.is extended.The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
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)
15C. DATE SIGNED
15A. NAME AND TITLE OF SIGNER (Type or print)
16C. DATE SIGNED
PAGE OF PAGES
CODE6. ISSUED BY
(X)
CODE
15B. CONTRACTOR/OFFEROR
(Signature of person authorized to sign)
16B. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
Previous edition unusable
QMACB
N/A
General Services Administration Travel Acquisition Support Branch 1800 F Street, NW 3rd Floor, Hub 3400 Washington, DC 20405
7. ADMINISTERED BY (If other than Item 6)
SEE BLOCK 6
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
3. EFFECTIVE DATE
Feb 6, 2024
10B. DATED (SEE ITEM 13)
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
Earl Ryan Oberholtzer Contracting Officer
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
Amendment A0004 is to: include FAR provision 52.204-29 Federal Acquisition Supply Chain Security Act Orders _ Representation and Disclosures (DEC 23).
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.
2. AMENDMENT/MODIFICATION NUMBER
A0004
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code
FAR 52.212-4(c) Pursuant to FAR 43.103(a) Bilateral
X 1
X
X
47QMCB24R0001
Jan 03, 2024
X
DocuSign Envelope ID: 0131BE6A-9FAA-4269-8F7E-DE5B8AE46BC7
2/6/2024
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| Digitally verifiable PDF exported from www.docusign.com |
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