HHM402-13-R-0023_AMENDMENT_02.pdf

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FORM 30. (Rcv. 10-83)

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. Contract lD Code aqe ol Paqes

2. AMENDMENT MODIFICATION NO.

3. EFFECTIVE DATE

MAR 25, 20'13

4. REQUISITION/PURCHASE REQ. NO.

288-0090-13-Z

5. PROJECT NO. (if applicable)

6, ISSUED BY CODE HHM4O2

Vieanie Conlrecting ACIMV

ATTN: AE-2

Eolling AFB, Building 6000 l /hshington DC 20340-5100

7. ADMINISTERED BY (lfother than item 6) CODE

L NAME AND ADDRESS OF CONTRACTOR (NO., Streel, Gountry, State and ZIP Code) (x) 94, AMENDMENT OF SOLICITATION NO.

HHM402-13-R-0023

X sB. DATED (SEE |TEM 11)

MAR 19,2013

1OA, MODIFICATION OF CONTRACT/ORDER NO.

1OB. DATED (SEE ITEM ,I3)

FACILIry CODE

II. YHIS ITEfl OIILYAPPLIES TO AIIENDIIEiITS OF SOLICITANON

I The above numbered solicitation is amended as set forth in item 14. The hour and date gpecmed lor receipt of otters ! is extended, Els not extenoea.

Otbrs must acknowledge receipt ofthis amendment prior to the hour and date sp€cifed in the solicilation or as amended, by one of tbe following methods:

(a) By completing items 8 and 15, and retuming JL copi$ of amendment; (b) By acknowledging receipt ofthis amendrnent on each copy of lhe offer submitted;

or (c) By separate letler or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWI-EDGMENT TO BE RECEIVEO AT THE PLACE DESIGNATED FOR THE RECEIPT OR OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. It by virtue ofthis amendo|ent your desire lo drange an ofier already submited, such change may be made by telegram or letler, provided each teleoram or letter makes Gference lo the solicitation and lhis amendmenl. and is received orior to lhe oo€nim hour and date sD€cified

12. ACCOUNTING AND APPROPRIATION DATA (If

See Schedule required)

13. THIS ITEI ONLY APPLIES TO MODIFrcANO OF COI{TRACTSTORDERS. IT f,ODIFIES THE CONTRACT'ORDER NO. AS DESCRIBED II{ ITET I4.

Check One A. THIS CHANGE ORDER lS ISSUED PURSUANT TO: (Speciry autho.ity) THE CHANGES SET FORTH lN ITEM 14 ARE MADE lN THE

CONTRACT ORDER NO. IN ITEM 'IOA

B. THE ABOVE NUMBERED CONTRACT/OROER lS MODIFIEO TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying ofrce. appropriation date, etc) SET FORTH lN ITEM '14, PURSUANT lO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specity type of modification and authority)

E. IMPORTANT: Conlractor f is not, l- is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, includirE solicitatiorvcont act subject matter where feasible)

The purpose ofthis amendment is to issue a revised Past Performanc€ Questionnaire under this solicitation.

Excepl as pmMd€d h€roin, €lltofin! €nd conditons ot lllo dodlmonl lafor€ncod in il6m 8A or 10A. as h6r€loforo chanqod. remaim unchano€d and in tullforc€ and offect.

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

QUENTIN MCCOY

CONTRACTING OFFICER, VACA

1 58. CONTRACTOR/OFFEROR 15C, DATE SIGNEO 168. UNITED STATES OF A I 6C. DATE SIGNED

25 MAR 13

(Signalure of pe6on authorized to sign) er ) (Siqnature ot C rntraciinq dmce,t T

NSN 7540-01-

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Prescdbed by GSA FAR (48 CFR) 53.243