DOL-MSH-16-R-00004_Mod_3.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT ~ CONTRACT ID CODE PAGE of PaGEs

1 1

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE RED. N0. 5. PROJECT N0. (If applicable)

000003 06/09/2016

6. ISSUED BY CODE MSHA BECKLEY 7. ADMINISTERED BY (If other thanitem6) CODE

US Department of Labor 1301 Airport Rd Beaver WV 25813

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) ~X~ 9A. AMENDMENT OF SOLICITATION NO.

DOL-MSH-16-R-00004

X 98. DATED (SEE ITEM 11)

05/13/2016

10A. MODIFICATION OF CONTRACT/ORDER NO.

108. DATED (SEE ITEM 13)

CODE FACILITY CODE

~ The above numbered solicitation is amended as set forth in Item 14. The hour and date spedfed for receipt of Offers ~ is extended, ❑ is not eMended.

Offers must acknowledge receipt of this amendment prior to the hour and dale specified in the solicitation or as amended , by one of the following methods: (a) By completing Items 8 and 15, and reluming 1 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 solidtation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 ooenina hour and tlate soedfied.

12. ACCOUNTING AND APPROPRIATION DATA (17 required)

13. THIS ITEM ONLYAPPLIES TO MODIFICATION OF CONTRACTSIORDERS. IT MODIFIES THE CONTRACTIORDER NO. AS DESCRIBED IN ITEM 14.

oNE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Spealy authontyJ 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 THEADMINISTRATIVECHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

IJ tN I tKtU IN I U

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

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized 6y UCFsection headings, including solicitatior✓contrecf subject matter where feasible.)

The purpose of Amendment #3 is to extend the date for receipt of offers by 2 days from June

15, 2016 at 5:00 p.m. to June 17, 2016 at 5:00 p.m.

Contract Specialist: Rhonda Sizemore, 304-256-3538; Sizemore.Rhonda@dol.gov

Except as provided herein. all lertns and conditions of the document referenced in Item 9 A or 10A, as heretofore chanced. remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Deborah w. Worrells

158. CONTRACTOR/OFFEROR 15C. DATE SIGNED 168. UNITED STATES OF AMERICA 16C. DATE SIGNED

11~v~~ )dd— ~ V ' W ~' Y~ L ~'" ~ ~l(Signa(ure of person authorized to sign) (Signature al Conheding O/lcerJ

NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83)

Previous edition unusable Prescribed by GSA

FAR (48 CFR) 53243