Amendment_A004.pdf

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Health & Life Insurance Services
Solicitation number
SPM070-17-R-0001
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AMENDM ENT OF SOLICITATION/MODIF ICATI O N OF C O NTRACT I. CO:vfRACr ID CODE PAGE OF PAGES I I I

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PRO.JECT NO. (If applicable)

A004 June 14,2017

6. ISSUED BY CODE 7. ADMINISTERED BY (If o1her !han Item 6)

I Lawrence Hess, Contracting Officer CODE

Department of State American Embassy

8. NAME AND ADDRESS OF CONTRACI'OR (NO .. street,city,county,State,and ZIP Code) 9a. AMENDMENT OF SOLICITATION NO.

X SPM070-1 7-R-OOO I

9b. DATED (S££ ITEM II)

May 5, 2017 lOa. 1\lODIFICATION OF CONTRAC r/ORDER NO.

I Ob. DA TEO (SEE ITEM 13)

II. THIS ITEM ONLY APPLI ES TO AMENDI\IE!\'TS OF SOLICITATIONS

[X] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers [X] is extended, [ ] 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 l, 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.

FA ILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT TH E PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DAT E SPECIFIED MAY RESULT IN REJ ECTION OF YOUR OFFER. lfby virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or leuer, 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 (/frequired)

13. TillS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DE CRJBEO IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify awhorif)~ THE CHANGES SET FORTI IIN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM lOA.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes m paying office, apJJropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO Til E AUntORITY OF FAR 43.103(b)

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

D. OTHER (Specify type ofmodiflcauon and awhority)

E. I~I PORTANT: Contractor 11 is not,_[} is requ1red to sign this document and return copies to the issuing office.

14. DESCRIPTION OF A~I ENOMENT/MODI FICATION (Organized by UCF section headmgs, mcludmg sohcllationlcomrac/ subjectmauer where feasible.)

The purpose of this amendment is to extend the closing date until Wednesday June 21, 20 17 at 4:30pm local time, please reference Block II on receipt acknowledgement.

Except as provided herein, alltenns and conditions of the document referenced in Item 9A or I OA. as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or prmt) 16A. NAI\IE OF CO~ lNG OFFICER

Lawrence Hes v' on cting Officer 15B. NAME OF CONTRACTOR/OFFEROR ISC.DATE 16B. llNITE~ ~ ;£$OF AMEIUCA 16C.DATESIGNEO

SIGNED

~ iA. .1 b(Pff7 BY BY , (Signa/lire of person awhorized 10 s1gn) (S,#JuJF-e ojConlracung Officer)

SF30

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