amend4.doc

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FITNESS FOR DUTY PHYSICAL EXAMS
Solicitation number
RFQ-OSCU-FFDPE2011
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AMENDMENT 4 DESCRIPTION- SF-30

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1. CONTRACT ID CODE

PAGE

OF

PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

2. AMENDMENT/MODIFICATION NO.
3. EFFECTIVE DATE
4. REQUISITION/PURCHASE REQ. NO.
5. PROJECT NO. (If applicable)
4
4/12/2011
6. ISSUED BY
CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

DEPARMENT OF JUSTICE

FEDERAL BUREAU OF INVESTIGATION

OPERATIONAL SUPPORT CONTRACTS UNIT

14800 CONFERENCE CENTER DRIVE, STE 300

CHANTILLY, VA 20151

AMANDA J. PENNEL, CONTRACTING OFFICER

AMANDA.PENNEL@IC.FBI.GOV

703-814-4851 (office)

703-814-4730 (fax)

8. NAME AND ADDRESS OF CONTRACTOR (No. Street, county, State and ZIP: Code)
(√)
9A. AMENDMENT OF SOLICITATION NO.

RFQ-OSCU-FFDPE2011

x
9B. DATED (SEE ITEM 11)

3/18/2011

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE

FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FORMCHECKBOX

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

FORMCHECKBOX

is extended, FORMCHECKBOX 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 copy 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 ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATA 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 opening hour and data 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 date, 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 copy to the issuing office.

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

The purpose of this amendment is to revise the price matrix. Section 14. dd. of the price matrix has been revised and now indicates the following service: RBC Cholinesterase x 1 draw and Plasma Cholinesterase x 1 draw (82482/82480).

All other terms and conditions remain the same.

//last item//

Except at 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)

AMANDA J. PENNEL

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

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

BY ___///SIGNED///_____________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

4/12/2011

NSN 7540-01-152-8070

STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE

Prescribed by GSA

FAR (48 CFR) 53.243

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