TIRMS13R00002-A0003.pdf

OMB Control No 1505-0081

OF PAGES\1. CONTRACT 10 CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT IPAG~ I

4. REQUISITION/PURCHASE REQ NO. PROJECT NO (If applicable)

2. AMENDMENT/MODIFICATION NO. 13 EFFECTIVE DATE

D-3-D7-02-GR-D030000003 02/01/2013

6. ISSUED BY CODEI 12155 7. ADMINISTERED BY (If other than Item 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

8. NAME AND ADDRESS OF CONTRACTOR (No. Street, county, State and ZtP: Code)

Vendor 10 To All Offerors

CODE IFACILITY CODE

9A AMENDMENT OF SOLICITATION NO.(xl f-- 1

TIRMS-13-R-00002

9B. DATED (SEE /TEM 11)

X 02/01/2013 lOA. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE /TEM 13)

11. THIS ITEM ONLY APPUIES TO AMENDMENTS OF SOLICITATIONS

[Xl The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers 0 is extended, [Xl 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 _"_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 submit1ed, 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 (IfreqUlfed)

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. (Spec/fyauthority) 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 o 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 AMENDMENT/MODIFICATION (Organized by UCF section headings. inc/udmg sabc/tation/contract subject matter where feasible.)

Amendment No. 0003 is hereby issued lJnder RFP No. TIRMS-13-R-00002 as follow:

1. Include attached site visit schedule information for each location.

2. Include attached Site Visit Attendees List.

3. Site Visit Attendees List response Due Date: 02/05/2013 at 2:00 pm CST via email or fax.

E.!cept at provided herein, all terms and conditions of the document re~renced In Item 9A or 1OA, ~s 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

158. CONTRACTOR/OFFEROR 15C. DATE SIGNED 168 UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signature of person authorized to sign)

NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-B3)

PREVIOUS EDITION UNUSABLE Computer Generated Prescribed by GSA

FAR (48 CFR) 53243