FA8056-17-R-0001_0001.pdf

AMENDMENT OF SOIJCITATION/MODIFICATION OF CONTRACT

J.CONl'RACT!D CODE \ PAGE OF PAGES

1 I "'

2. AMENDMENTIMODJFICA TION NO, 3. EFFECTIVE DAIB 4.REQUISITION/PURCHASE REQ. NO. 5. PROJECTNO.(lfapp!icab!e)

0001 21-Dac-2016

6,JSSUEDBY (.'ODE FA8056 7. ADMINJSlERED BY '(Jfotherthenitom6) CODE I

771 ESSIEGA See Item 6 19401\U.BROOKORIVE BLO 1 11\RIGHT-PAnERSON AFB OH 45433

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Cock:) x 9A. AMENDMENT OF SOLICITATION NO.

FA8056-17-R-0001

x 9B. DATED (SEE ITEM 11) 21-Dec-2016 lOA_ MOD. OF CONTRACT /ORDER NO.

lOB. DATED (SEE ITEM 13)

CODE IFACJT IT DE

IL THIS ITEM ONLY APPLIES TO AMENDMENTS OF IDLICIT AT IONS

(~}Ihe above nunbered solicitation is am:oded as set f>nh in Item 14. The hour end date specilied f>rreceipt ofOfi:r D is<':Jdcndcd, 0 iB not extended.

Oli:rm.J:<t acknowledge receipt ofthis em:ndtn:;:ot prio•to the hour ...,d date speciJied in the solicitation or as am:nded by one ofthe f>llov. ing =thods:

(a) By cbrrplcting Jtem;'8 end 15, Olld returning ___ wpies ofthe em:ndnrnt; {b)By acknowledging re<:cipt ofthis lll:D<lldm:nton each copy ofthe oli:rsubnittcd;

or {c) By separate letter or telegnrmwhich includes a 1ehcnce to the solicitation and am:ndmont nunflers _ FAILURE OF YOUR ACKNOWLEDGMENTTO BE RECEIVED ATJHE PLACE DESlGNA"ffiD FOR JHE RECE!PTOF OFFERS PRIOR TO THE HOUR AND DA1E SPECIFIED MAY RESULT IN

REJEC1ION OF YOUR OFFER lfby virtue ofthis am:ndm:nt you dosiro to change an oli:r already subnitted,snch ch011ge o:ay be rn>de by telegnunor letter.

provided eoch tdcgramor letter onkes rchence to the solidtution and thi• anr:ndrn:mt, and is received prior to the opening bow-and dale •peci~ed,

12. ACCOUNTING AND APPROPRIATION DAT A (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 IS'IUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH INITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM JOA.

8. THE ABOVE NUMBERED CONTRACT/ORDERISMODIFIED TO REFLECT THE ADMlNlSIRATIVE CHANGES(sucb as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR43.103(B).

C. THIS SUPPLEMENT AL AGREEMENT JS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER(Specify type of modification and authority)

E. lMPORT ANT: Contractor D is not, D is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AlvlliNDMENT /MODIFICATION (Organized by UCF section beadings, Including solicitation/contract subject matter v.bere feasible.)

Adrrinistrative Olanges

Exceµt as provided herein, HI! tcrnll nod conditions ofthe dociurcnt refuenced in ltetn9A or JOA, as hereto!Oro obangod, rennins uncbEtUgcd and in full Drce nod eli:ct.

ISA. NAlvlli AND TITLE OF SIGNER {Type or print) 16A. NAME AND TITLE OF CONTRACTINGOFFICER(Typc or print)

TEl EMAIL:

15B. CONTRACTORJOFFEROR 15C. DATE SIGNED 168. UNITED STATES OF AMERICA 16C. DATE SIGNED

BY 21-Dec-2016 (Signature of-person authorized to sign) (Signature of Contracting Officer)

-EXCEPTION TO Sf 30

APPROVED BY OIRM 11-84

30-105-04 STANDARD FORM30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

1078889833C Typewritten Text JoAnn Parks joann.parks@us.af.mil

1078889833C Typewritten Text