TAB_C_Amendment_SBK80014R0003A003.pdf

NSN 7540-01-152-9070 STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE Prescribed by GSA

FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 1

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (if applicable)

A003 May 16, 2014

6. ISSUED BY CODE 7. ADMINISTERED BY (if other than item 6) CODE

The Embassy of the United States of America Procurement & Contracting Office Roberta C. Frasurea 71000 Sarajevo Bosnia and Herzegovina

8. NAME AND ADDRESS OF THE CONTRACTOR (No., street, country, State and ZIP Code) (x) 9A. AMENDMENT OF SOLICITATION NO.

SBK80014R0003

9B. DATED (SEE ITEM 11)

April 14, 2014

10A. MODIFICATION OF CONTRACT ORDER

NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbers solicitation is amended as set fourth in item 14. The hour and date specified for receipt of Offers is extended, is not extended. Offer 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 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 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 opening hour and date specified.

12. Accounting and Appropriation Data (If required)

13. THIS ITEM APPLIES ONLY TO THE MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14

(X) A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FOURTH 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 change 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.)

Purpose of this Amendment A003 is to provide correction of typographical mistake made in subparagraph B.3.2.1.

prospective offerors shall DELETE subparagraph: “B.3.2.1. Monthly Retention Amounts per separate premium paid per single employee and per family plan.” in its entirety and REPLACE with the following:

“B.3.2.1. Bi-Weekly Retentions Amounts per separate premium paid per single employee and per family plan.”

The Amendment A003 does not provide for an extension of proposal submission time. Proposal submission time and date remain unchanged and its set for: May 23, 2014 @15:00 local time or 09:00 AM the US EST.

Except as provided herein, all other 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 SIGNER (Type or print)

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

SIGNED

BY

(Signature of Person authorized to sign) (Signature of Contracting Officer)