Signed Option 3 Year P00005 SPE2D219D0066 Modification.pdf

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Attached to
OMEPRAZOLE Federal contract opportunity
Solicitation number
SPE2D217R0031
Issued by
Defense Logistics Agency Troop Support Medical

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11 CONTRACT I CODE:

I:
I_2:
X:
9A AMENDMENT OF SOLICITATION NO:
9B DATED SEE ITEM 11:
X_2:
CODE 1HT23 FACILITY CODE:
10B DATED SEE ITEM 13 2018 OCT 30:
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:
12 ACCOUNTING AND APPROPRIATION DATA ff required:
13 THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTSORDERS:
IN ITEM 10A:
Row1:
C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF FAR 522179 Option to extend the term of the contract:
XRow1:
D 0TH ER Specify type of modification and authority:
E IMPORTANT Contractor D is not 0 is required to sign this document and return:
15A NAME AND TITLE OF SIGNER Type or print 16A NAME AND TITLE OF CONTRACTING OFFICER Type or print: Jason Wray
1 C De LP l2o Jy CfJ e leloRow1:
2021-10-15T08:48:10-0400
WRAY.JASON.CHRISTOPHER.1238740742
16C DATE SIGNED: 10/15/2021
REFERENCE NO OF DOCUMENT BEING CONTINUED SPE2O219D0066 P00005:
PAGE 2 OF 2 PAGES:
1 Option 3 is hereby exercised effective for the period of October 26 2021 through October 25 2022 2 The unit price changed for the following NDC as follows NDC 51407012910 Omeprazole 20MG 1000 Count from 4000 to 3800 for option 3 year only 3 All other terms and conditions remain unchanged:

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