AMEND0001.doc

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

OF PAGES

2. AMENDMENT/MODIFICATION

A00001

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO.

6. ISSUED BY CODE:

7. ADMINISTERED BY CODE:

8. NAME AND ADDRESS OF CONTRACTOR (No, street, county, state and Zip Code)

CODE: FACILITY CODE:

9a. AMENDMENT OF SOLICITATION NO.

70Z08521RP4596300________________

9b. DATED (SEE ITEM 11)

10a. MODIFICATION OF CONTRACT NO.

10b. DATED (SEE ITEM 13)

12. ACCOUNTING AND APPROPRIATION DATA (IF REQUIRED)

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

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

(x)

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 data, etc.) set forth in Item 14 pursuant to the authority of FAR 43.103(b).

C. This supplemental agreement is entered into in pursuant to authority of:

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)

A. The following solicitation has is hereby amended to incorporate Attachment 6 – Coast Guard Arrangement Serial Number List.

B. All other terms and conditions remain unchanged.

15A. NAME AND TITLE OF SIGNER (Type/Print)

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type/Print)