TIRMS13R00002-A0002.pdf

I

OMB Control No 1505-0081

OF PAGES11. CONTRACT 10 CODE PAGElAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT I

4. REOUISITIONIPURCHASE REO. NO. PROJECT NO. (If applicable)

2. AMENDMENT/MODIFICATION NO. 13. EFFECTIVE DATE

0002 01/31/2013 D-3-D7-02-GR-D03 000

6. ISSUED BY CODEI 12155 7. ADMINISTERED BY (If other than /fern 6) CODEI

IRS, Midstates Procurement, OSAP:B:M 4050 Alpha Rd, 1045NDAL, 9th Fir, Rm 930 See Item 6

Dallas, TX 75244-4203

BERNADEnE GROSS-BRIGGS 972-308-1938

6. NAME AND ADDRESS OF CONTRACTOR (No Street, county, State and ZIP: Code) 9A. AMENDMENT OF SOLICITATION NO.~x) - TIRMS-13-R-00002 Vendor ID: To All Offerors

98 DATED (SEE ITEN 11)X

01/31/2013 lOA MODIFICATION OF CONTRACT/ORDER NO lOB. DATED (SEE fTEM 13)

CODE IFACILITY CODE

-11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITA nONS lXJ The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers 0 is extended, \XI 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 Band 15, and returning _1_ 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 DATA 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 data specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

....w... 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 lOA.

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 43103(b).

C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF

D. OTHER Specify type of modification and authority}

E. IMPORTANT: Contractor o is not, o is required to sign this document and return __ copies to the issuing office.

14. DESCRIPTION OF AMENDMENTIMODIFICATION (Organized by UCF section headings, including solicitatIOn/contract subject matter whena feasib/e.)

AMENDMENT NO. 002 is hereby issued under RFP No. TIRMS-13-R-0002, for the following purpose:

1. Replace Exhibit 3a and refer to attached Exhibit 3a-Amended

2. See attached Exhibit 2 not included in onginal solicitation

3. See attached Exhibit 13 not included in original solicitation

4. To notify offerors that due to internal system issues, Amendment No. 0001 was generated in error. As a result, it does not reflect any changes in the solicitation and will therefore not be prOVided.

Except at provided herein, all terms and conditions ot the document referenced in Item 9A or lOA, 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 CONTRACTING OFFICER (Type or print)

BERNADEnE GROSS-BRIGGS

156. CONTRACTOR/OFFEROR 15C. DATE SIGNED 166. UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signatuna of person authorized to sign)

30-105 Computer Generated

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE