SF30_SSN10016R0002_A006.doc

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

1 ( 3

2. AMENDMENT/MODIFICATION NO.

A006

3. EFFECTIVE DATE

See Item 16C

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6.

ISSUED BY

CODE

7. ADMINISTERED BY (If other than Item 6) CODE

GENERAL SERVICES OFFICE

PROCUREMENT SECTION

US EMBASSY SINGAPORE

27 NAPIER ROAD SINGAPORE 258508

See Item 6.

8.

NAME AND ADDRESS OF CONTRACTOR (NO., street,city,county,State,and ZIP Code)

SSN10016R0002

9b. DATED (SEE ITEM 11)

June 9, 2016, Thursday

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

[ ] is extended, [ X ] 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 ___3____ 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 ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE 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)

N/A

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:

Mutual Agreement of Parties

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.)

The schedule of indemnities listed below is to be added to Section C2.1.3 of the solicitation:

Partial liability is defined according to the following schedule:

Schedule of Indemnities

Percent of

Principal Sum

1. Accidental Death

100%

2. Permanent Total Disability 150%

3. Major Burns (third degree burns over 25% or more of the body surface) 100%

4. Loss of or the permanent total loss of use of two limbs

150%

5. Loss of or the permanent total loss of use of one limb

125%

6. Permanent total loss of sight of both eyes 150%

7. Permanent total loss of sight of one eye 100%

8. Loss of or the permanent total loss of use of one limb and loss of sight of one eye 150%

9. Loss of speech and hearing 150%

10. Permanent and incurable insanity 100%

11. Permanent total loss of hearing in:

a. both ears

75%

b. one ear

25%

12. Loss of speech

50%

13. Permanent total loss of the lens of one eye 50%

14. Loss of or the permanent total loss of use of four fingers and thumb of:

a. right hand

70%

b. left hand

50%

15. Total loss of or the permanent total loss of use of four fingers of:

a. right hand

40%

b. left hand

30%

16. Loss of or the permanent total loss of use of thumb and

a. two right phalanges

30%

b. one right phalanx

15%

c. two left phalanges

20%

d. one left phalanx

10%

17. Loss of or the permanent total loss of use of fingers

a. three right phalanges 10%

b. two right phalanges

7.5%

c. one right phalanx

5%

d. three left phalanges

7.5%

e. two left phalanges

5%

f. one left phalanx

2%

18. Loss of or the permanent total loss of use of toes

a. All toes on one foot

15%

b. Great toe and two phalanges 5%

c. Great toe and one phalanx 3%

d. Other than great toe, each toe 1%

19. Fractured leg or patella with established non-union

10%

20. Shortening of leg by at least 5 cm 7.5%

Except as 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 OF CONTRACTING OFFICER

Mr. Matthew S. Ferry

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

BY

(Signature of Contracting Officer)

16C.DATE SIGNED

July 21, 2016

SF30