SF30_Amendment_SMY30015R0004.docx
DOCX document 42 KB Posted
- Attached to
- Health and Life Insurance Services
- Solicitation number
- SMY30015R0004
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Amendment to Health and Life Insurance Service Solicitation-SMY30015R0004
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. C O NTRACT ID C O DE
2. AMENDMENT/MODIFIC ATIO N NO.
A001
3. EFFECTIVE DATE
09/21/2015
| 4. REQUIS ITIO N/PURCHASE REQ. NO. |
| 5. PRO JEC T NO. (If applicable) |
| 6. IS S UED BY | C O DE |
| MY300 | |
| 7. ADMINIS TERED BY (If other than Item 6 ) | C O DE |
AMERICAN EMBASSY KUALA LUMP UR
376 JALAN T UN RAZAK, AT T N: GSO/P ROCUREMENT KUALA LUMP UR, 50400
MALAYSIA
AMERICAN EMBASSY KUALA LUMPUR
376 JALAN T UN RAZAK, AT T N: GSO/P ROCUREMENT KUALA LUMP UR, 50400
MALAYSIA
8. NAME AND ADDRES S O F C O NTRAC TO R( NO. ,street, city, county, State, and ZIP Code)
NO VENDOR
| X |
| 9a. AMENDMENT O F S O LIC ITATIO N NO . |
SMY30015R0004
9b. DATED (SEE ITEM 11 ) 08/24/2015
10a. MO DIFIC ATIO N O F C O NTRAC T/O RDER NO.
10b. DATED (SEE ITEM 13)
11. THIS ITEM O NLY APPLIES TO AMENDMENTS O F S O LIC ITATIO NS
X T he above numbered solicit at ion is amended as set fort h in Item 14. T he hour and date specified for receipt of Offers x is ex ended, _ is not extended Offers must acknowledge receipt of t his amendment prior t o t he hour and date specified in t he solicit at ion or as amended, by one of t he following methods: (a) By completing It ems 8 and 15, and returning 1 copies of t he amendment ;(b) By acknowledging receipt of t his amendment on each copy of t he offer submitted; or (c) By separate letter or telegram which includes a reference t o t he solicit at ion and amendment numbers.
FAILURE O F YO UR AC KNO W LEDGMENT TO BE REC EIVED AT THE PLAC E DES IGNATED FO R THE REC EIPT O F O FFERS PRIO R TO THE H O UR AND DATE S PEC IFIED MAY RES ULT IN REJEC TIO N O F YO UR O FFER. If by virtue of t his amendment you desire t o change an offer already submit ted, such change may be made by telegram or letter, provided each telegram or letter makes reference t o t he solicit at ion and t his amendment , and is received prior t o t he opening hour and date specified.
12. AC C O UNTING AND APPRO PRIATIO N DATA (If required)
13. THIS ITEM APPLIES O NLY TO MO DIFIC ATIO NS O F C O NTRAC TS /O RDERS ,
IT MO DIFIES THE C O NTRAC T/O RDER NO . AS DES C RIB ED IN ITEM 14.
| _ |
| A. T HIS CHANGE ORDER IS ISSUED P URSUANT T O: T HE CHANGES SET FORT H IN IT EM 14 ARE MADE IN T HE CONT RACT ORDER NO. IN IT EM 10A. |
| _ |
| B. T HE ABOVE NUMBERED CONT RACT /ORDER IS MODIFIED T O REFLECT T HE ADMINIST RAT IVE CHANGES (such as changes in paying office, appropriat ion date, et c.) SET FORT H IN IT EM 14, P URSUANT T O T HE AUT HORIT Y OF FAR 43.103(b) |
| _ |
| C. T HIS SUP P LEMENT AL AGREEMENT IS ENT ERED INT O P URSUANT T O AUT HORIT Y OF: |
| _ |
| D. OT HER (Specify type of modification and authority) |
E. IMPO RTANT: Contractor X is not , is _ required to sign this document and ret urn _ copies t o t he issuing office.
14. DES C RIPTIO N O F AMENDMENT/MO DIFIC ATIO N (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
A The closing date is extended until October 5, 2015 at 12.00 noon local time B. Exhibit C – Historical Claims Information, changed from over three years to five years.
Except as provided herein, all terms and conditions of t he document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect .
| 15A. NAME AND TITLE O F S IGNER (Type or print) |
| 16A. NAME O F C O NTRAC TING O FFIC ER |
Louise J. Ramsay
15B. NAME O F C O NTRAC TO R/O FFERO R
BY
(Signature of person authorized to sign)
| 15C.DATE S IGNED |
| 16B. UNITED S TATES O F AMERIC A, BY |
(Signature of Contracting Officer)
16C.DATE S IGNED
| NSN 7540-01-152-8070 | Standard Form 30 (revised 10/83) | |
| Previous edit ion unusable | Prescribed by GSA FAR (48 CFR)53.2 |
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