SF30_RFQ_DTSL55-13-Q-P0391_Amendment_A001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NO.

Amendment A001

3. EFFECTIVE DATE

12/11/14

4. REQUISITION/PURCHASE REQ NO.

15-N-P0391

5. PROJECT NO. (if applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (if other than Item 6) CODE U.S. Department of Transportation Saint Lawrence Seaway Development Corporation Contracting Office PO Box 520, 180 Andrews Street Massena, New York 13662

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, state and zip code)

(√) 9A. AMENDMENT OF SOLICITATION NO.

DTSL55-15-Q-P0391

XX 9B. DATED (SEE ITEM 11)

12/09/2014

10A. MODIFICATION OF CONTRACT

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM 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 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 solicitation 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 OUR 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)

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 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)

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

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

Solicitation No. DTSL55-15-Q-P0391 for the dental insurance program is amended to change the term of the contract as follows:

If the insurance carrier is unable to start the dental insurance program on January 1, 2015 as specified, he/she shall note that in the proposal and provide an alternate starting date. If exercised, the first renewal period (option year) will begin 12 months after the starting date.

An attachment of the employee census data is attached and uploaded on the Federal Business Opportunities website.

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 AND TITLE OF CONTRACTING OFFICER (Type or print)

Patricia L. White Contracting Officer

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

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

BY __________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

STANDARD FORM 30