W912PB26QA093 SF 30.pdf

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Attached to
Purchase of 2 Sewer Cleaning and Sludge Disposal Pump Trucks
Solicitation number
W912PB26QA093
Issued by

About this file

This is a Standard Form 30 (SF 30) Amendment of Solicitation that extends the response deadline for a Request for Quotations (RFQ) issued by the U.S. Army Corps of Engineers, KO Directorate of Contracting.

The amendment extends the solicitation response due date from 8 September 2026 to 23 September 2026 at 10:00 AM Central European Time. The solicitation number is W912PB26QA093, and quotes are for Sewer Cleaning and Sludge Disposal Pump Trucks for delivery to USAG Bavaria (Rose Barracks, Vilseck, Germany). Pricing must be submitted for two Contract Line Item Numbers (CLINs 0001 and 0002) on the SF 1449 form in either U.S. Dollars or Euros, fully loaded including all costs and delivery FOB Destination, excluding taxes and duties for which the U.S. Government is exempt. The Government intends to award a single contract on a Lowest Price Technically Acceptable (LPTA) basis without discussions. Quoters must acknowledge receipt of this amendment and provide technical documentation demonstrating that equipment meets all salient characteristics specified in the attached Purchase Description, along with subcontracting information, country-of-origin certification, and manufacturer warranty documentation (minimum 1 year). Electronic submission via email to specified contracting personnel is required, with a maximum file size of 10 MB per email. Questions must be submitted by 1 September 2026 at 10:00 AM Central European Time. The quoter agreement to hold prices firm for 30 calendar days from the receipt of offers date applies.

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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers 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 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of theoffer submitted;

or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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)

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

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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:

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.)

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 AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

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

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

J 1 11

0001 10 SEP 2026

W912PB

0409 AQ HQ CONTRACT

KO DIRECTORATE OF CONTRACTING, UNIT 28130

APO, AE 09114

UNITED STATES

YOHANNES TEKOLA, EMAIL: YOHANNES.S.TEKOLA.MIL@ARMY.MIL TELEPHONE:

314-526-8760

SCD: PAS:

W912PB26QA093

10 SEP 2026

SEE CONTINUATION

Solicitation to be extended to SEP 23 2026.

SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Solicitation/Contract Form Continuation

The following changes have been made:

Addendum to 52.212-1, Instructions to Offerors - Commercial Products and Commercial Services

Miscellaneous text in this section has been modified from:

Terminology Interpretation Rule: This solicitation is issued as a Request for Quotations (RFQ) in accordance with FAR Part 12 and Part 13. Accordingly, all references within this solicitation, its provisions, clauses, and any attached addenda to "offer(s)", "proposal(s)", or "offeror(s)" shall be interpreted to mean "quote(s)" and "quoter(s)", respectively.

Consistent with FAR 13.004, a quotation submitted in response to this RFQ is not a binding offer.

A contract is only established when the Government issues a purchase order (SF 1449) and the vendor accepts it, either by signing the block on the form or by beginning performance of the work.

The following supplemental instructions are provided in accordance with standard provision paragraph RFO FAR 52.212-1(a)(4), which requires quoters to submit information necessary to evaluate the factors described in the solicitation, and RFO FAR 52.212-1(b) regarding the period for acceptance of offers. These instructions supplement, but do not amend, alter, or tailor, the standard terms of RFO FAR 52.212-1.

Period for Acceptance of Offers (RFO FAR 52.212-1(b) Supplement)

The quoter agrees to hold the prices in its offer firm for 30 calendar days from the date specified for the receipt of offers.

Submission and Delivery Instructions (RFO FAR 52.212-1(a)(4) Supplement)

A. Closing Date, Time, and Location

Offers must reach the Government office designated in the solicitation by the closing date and time specified in Blocks 8 and 9 of the SF 1449.

Due Date and Time: 23 September 2026 at 10:00 AM Central European Time (or as amended).

"Local Time" means Central European Time (CET) or Central European Summer Time (CEST), as applicable.

The date and time stated on the solicitation SF 1449 shall govern over any other systems (such as SAM.gov).

Hand-carried proposals will NOT be accepted at the gate by Regional Contracting Office (RCO) personnel.

FAX submission is not authorized.

Courtesy Translation / Hoflichkeitsubersetzung:

Anbieter sind verantwortlich, Angebote vor dem angegebenen Zeitpunkt zu diesem Buro zu bringen. FAX Ubermittlung ist nicht moglich.

B. Electronic Submission Requirements

Offers shall be submitted electronically via email to the following addresses:

* Contract Specialist: SSG Tekola, Yohannes, email: yohannes.s.tekola.mil@army.mil

* Contracting Officer: MSG Wessels, Gus, email: gus.w.wessels.mil@army.mil

* Email Subject Line: Must state exactly "Submission of Quote W912PB26QA093"

Submission Notes:

(1) Size Limit: The maximum file size restriction for attachments to emails on the U.S. Government server is 10 MB. Offerors may send multiple emails if necessary (e.g., "Email 1 of 3").

(2) Delivery Verification: Failure to submit to all specified email addresses may result in your offer not being received or considered for award.

(3) Alternative Delivery: Mailed (paper) offers are not preferred, but will be accepted if received prior to the closing deadline at the address specified on the solicitation cover sheet.

(4) Format: Offers must be submitted in English and sent in PDF format.

Questions Regarding the Solicitation

All questions regarding this solicitation must be submitted in writing via email to all specified email addresses above.

Questions must be submitted no later than 17 September 2026 at 10:00 AM Central European Time to allow the Government sufficient time to respond.

Identify the specific solicitation section, attachment, or technical specification page as a reference for each question.

Answers to questions will be posted to the SAM.gov website under the solicitation number referenced. It remains the quoter's responsibility to monitor the website for amendments, answers, and instructions.

C. Technical Quote Requirements (Factor 1 - Technical Capability)

Quoters shall submit descriptive product literature (such as manufacturer specification sheets, brochures, and technical drawings) that clearly demonstrates the offered Sewer Cleaning and Sludge Disposal Pump Trucks meet all salient physical, functional, and performance characteristics specified in the attached Purchase Description (PD).

Instructions for Written Submittals

A. General Process

This requirement is being conducted using Simplified Acquisition Procedures IAW RFO Part 12 and RFO Part 13. The Government intends to award a single contract on a Lowest Price Technically Acceptable (LPTA) basis pursuant to the award evaluation criteria stated in the Addendum to RFO FAR 52.212-2.

The Government intends to award a contract without discussions. Therefore, the quoter's initial offer should contain their best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if determined necessary by the Contracting Officer.

B. Pre-Award Compliance Checklist

Failure to submit the information requested below may result in the offer being considered non-compliant and excluded from evaluation. Each offer must contain:

[ ] SAM Registration: Active registration in the System for Award Management (SAM.gov).

[ ] Completed SF 1449: Blocks 12, 17a (including CAGE Code), 23, 24, 30a, 30b, and 30c completed and signed, including acknowledgment of all solicitation amendments (if issued).

[ ] Signed Amendments: Signed copies of amendments (if applicable).

[ ] CLIN Price Schedule: Completed unit and total pricing for CLIN 0001 and CLIN 0002 on the SF 1449.

[ ] Technical and Price Data: Required evaluation materials detailed under RFO FAR 52.212-2.

[ ] RFO FAR 52.209-7 Representation: Completed "Information regarding Responsibility Matters" (Deviation 2026-O0038).

[ ] RFO FAR 52.229-11 Submission: Completed "Tax on Certain Foreign Procurements--Notice and Representation," including a completed IRS Form W-14.

[ ] DFARS Representations: Completed DFARS provisions 252.204-7016 and 252.204-7017 regarding defense telecommunications.

[ ] DFARS Tax Relief Provisions: Completed 252.229-7001 and, if applicable, 252.229-7001 Alternate I (for Germany only).

C. Tax on Certain Foreign Procurements (Excise Tax Withholding)

If the quoter represents itself as a foreign person IAW RFO FAR 52.229-11:

(1) Clause Inclusion: RFO FAR 52.229-12 will be included in the resulting contract.

(2) IRS Form W-14: Must be submitted with the offer. If missing, exemptions will not apply, and the Government will withhold a 2% Federal excise tax from each invoice.

(3) DFARS 252.229-7014: Included if the contractor is fully exempt based on IRS Form W-14.

(4) Exempt Treaty Countries: Austria, Iceland, Slovak Republic, Bangladesh, Italy, Slovenia, Belgium, Jamaica, South Africa, Bulgaria, Japan, Spain, Canada, Latvia, Sri Lanka, Czech Republic, Lithuania, Sweden, Denmark, Luxembourg, Switzerland, Estonia, Malta, Turkey, Finland, Mexico, United Kingdom, Germany, Netherlands, Venezuela, Hungary, Portugal.

Price Proposal Submission Requirements (Factor 1)

Quoters shall complete and submit pricing for CLIN 0001 and CLIN 0002 directly on the SF 1449.

Prices may be entered in U.S. Dollars ($) or Euros (). Use exactly two decimal places.

Prices must be fully loaded (inclusive of all G&A, overhead, fees, insurance, profit, and shipping /delivery costs FOB Destination to:

USAG Bavaria

DPW, O&M Div, Building 140

Rose Barracks, Vilseck, 92249

Germany

Prices must exclude taxes and duties for which the U.S. Government is exempt.

Technical Submission Requirements (Factor 2)

The technical volume must consist of:

Subfactor 1 -- Salient Characteristics: Provide the manufacturer's product specification sheet for the exact model being offered. The specification sheet must clearly demonstrate that the equipment meets or exceeds all minimum salient characteristics listed in Attachment 1 - Product Specifications - Sewer Cleaning and Sludge Disposal Pump Truck.

Subfactor 2 -- Subcontracting Information: Quoters must submit either (1) a written statement certifying that all deliveries will be executed exclusively by the prime quoter, OR (2) a list of proposed subcontractors, joint ventures, or business partners, including contact information, work assignments, and signed Letters of Intent on each subcontractor's letterhead confirming their commitment to perform.

Subfactor 3 -- Trade Agreements (End Product Certification): Quoters must submit a written statement certifying that the country of origin of the end product is the United States, a "Qualifying Country" IAW R-DFARS 252.225-7021, or a "Designated Country" IAW R-DFARS 252.225-7021.

Subfactor 4 -- Warranty Information: Provide documentation demonstrating a manufacturer's warranty of at least 1 year (12 months) or the standard commercial warranty, whichever is longer, covering defects in performance, material, and workmanship (matching the evaluation requirements IAW RFO FAR 52.212-2).

Supplier Performance Risk (Factor 3)

Quoters must provide their Commercial and Government Entity (CAGE) Code.

Quoters with a Yellow or Red score in the Supplier Performance Risk System (SPRS) must submit a brief Risk Mitigation Plan (not to exceed 5 pages) with their quote addressing their historical performance issues. Quoters with Green, Purple, Blue, Grey, or Black ratings, or those with no record, do not need to submit a plan.

AMC-Level Protest Program (5152.233-4002)

Complaints should first be discussed with the Contracting Officer. However, formal protests may be sent to Headquarters, U.S. Army Materiel Command (AMC), Office of Command Counsel-

Deputy Command Counsel, 4400 Martin Road, Rm: A6SE040.001, Redstone Arsenal, AL 35898- 5000 (Fax: 256-450-8840, Email: usarmy.redstone.usamc.mbx.protests@army.mil). Procedures are located at https://www.amc.army.mil/Connect/Legal-Resources/.

To:

Terminology Interpretation Rule: This solicitation is issued as a Request for Quotations (RFQ) in accordance with FAR Part 12 and Part 13. Accordingly, all references within this solicitation, its provisions, clauses, and any attached addenda to "offer(s)", "proposal(s)", or "offeror(s)" shall be interpreted to mean "quote(s)" and "quoter(s)", respectively.

Consistent with FAR 13.004, a quotation submitted in response to this RFQ is not a binding offer.

A contract is only established when the Government issues a purchase order (SF 1449) and the vendor accepts it, either by signing the block on the form or by beginning performance of the work.

The following supplemental instructions are provided in accordance with standard provision paragraph RFO FAR 52.212-1(a)(4), which requires quoters to submit information necessary to evaluate the factors described in the solicitation, and RFO FAR 52.212-1(b) regarding the period for acceptance of offers. These instructions supplement, but do not amend, alter, or tailor, the standard terms of RFO FAR 52.212-1.

Period for Acceptance of Offers (RFO FAR 52.212-1(b) Supplement)

The quoter agrees to hold the prices in its offer firm for 30 calendar days from the date specified for the receipt of offers.

Submission and Delivery Instructions (RFO FAR 52.212-1(a)(4) Supplement)

A. Closing Date, Time, and Location

Offers must reach the Government office designated in the solicitation by the closing date and time specified in Blocks 8 and 9 of the SF 1449.

Due Date and Time: 23 September 2026 at 10:00 AM Central European Time (or as amended).

"Local Time" means Central European Time (CET) or Central European Summer Time (CEST), as applicable.

The date and time stated on the solicitation SF 1449 shall govern over any other systems (such as SAM.gov).

Hand-carried proposals will NOT be accepted at the gate by Regional Contracting Office (RCO) personnel.

FAX submission is not authorized.

Courtesy Translation / Hoflichkeitsubersetzung:

Anbieter sind verantwortlich, Angebote vor dem angegebenen Zeitpunkt zu diesem Buro zu bringen. FAX Ubermittlung ist nicht moglich.

B. Electronic Submission Requirements

Offers shall be submitted electronically via email to the following addresses:

* Contract Specialist: SSG Tekola, Yohannes, email: yohannes.s.tekola.mil@army.mil

* Contracting Officer: MSG Wessels, Gus, email: gus.w.wessels.mil@army.mil

* Email Subject Line: Must state exactly "Submission of Quote W912PB26QA093"

Submission Notes:

(1) Size Limit: The maximum file size restriction for attachments to emails on the U.S. Government server is 10 MB. Offerors may send multiple emails if necessary (e.g., "Email 1 of 3").

(2) Delivery Verification: Failure to submit to all specified email addresses may result in your offer not being received or considered for award.

(3) Alternative Delivery: Mailed (paper) offers are not preferred, but will be accepted if received prior to the closing deadline at the address specified on the solicitation cover sheet.

(4) Format: Offers must be submitted in English and sent in PDF format.

Questions Regarding the Solicitation

All questions regarding this solicitation must be submitted in writing via email to all specified email addresses above.

Questions must be submitted no later than 1 September 2026 at 10:00 AM Central European Time to allow the Government sufficient time to respond.

Identify the specific solicitation section, attachment, or technical specification page as a reference for each question.

Answers to questions will be posted to the SAM.gov website under the solicitation number referenced. It remains the quoter's responsibility to monitor the website for amendments, answers, and instructions.

C. Technical Quote Requirements (Factor 1 - Technical Capability)

Quoters shall submit descriptive product literature (such as manufacturer specification sheets, brochures, and technical drawings) that clearly demonstrates the offered Sewer Cleaning and Sludge Disposal Pump Trucks meet all salient physical, functional, and performance characteristics specified in the attached Purchase Description (PD).

Instructions for Written Submittals

A. General Process

This requirement is being conducted using Simplified Acquisition Procedures IAW RFO Part 12 and RFO Part 13. The Government intends to award a single contract on a Lowest Price Technically Acceptable (LPTA) basis pursuant to the award evaluation criteria stated in the Addendum to RFO FAR 52.212-2.

The Government intends to award a contract without discussions. Therefore, the quoter's initial offer should contain their best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if determined necessary by the Contracting Officer.

B. Pre-Award Compliance Checklist

Failure to submit the information requested below may result in the offer being considered non-compliant and excluded from evaluation. Each offer must contain:

[ ] SAM Registration: Active registration in the System for Award Management (SAM.gov).

[ ] Completed SF 1449: Blocks 12, 17a (including CAGE Code), 23, 24, 30a, 30b, and 30c completed and signed, including acknowledgment of all solicitation amendments (if issued).

[ ] Signed Amendments: Signed copies of amendments (if applicable).

[ ] CLIN Price Schedule: Completed unit and total pricing for CLIN 0001 and CLIN 0002 on the SF 1449.

[ ] Technical and Price Data: Required evaluation materials detailed under RFO FAR 52.212-2.

[ ] RFO FAR 52.209-7 Representation: Completed "Information regarding Responsibility Matters" (Deviation 2026-O0038).

[ ] RFO FAR 52.229-11 Submission: Completed "Tax on Certain Foreign Procurements--Notice and Representation," including a completed IRS Form W-14.

[ ] DFARS Representations: Completed DFARS provisions 252.204-7016 and 252.204-7017 regarding defense telecommunications.

[ ] DFARS Tax Relief Provisions: Completed 252.229-7001 and, if applicable, 252.229-7001 Alternate I (for Germany only).

C. Tax on Certain Foreign Procurements (Excise Tax Withholding)

If the quoter represents itself as a foreign person IAW RFO FAR 52.229-11:

(1) Clause Inclusion: RFO FAR 52.229-12 will be included in the resulting contract.

(2) IRS Form W-14: Must be submitted with the offer. If missing, exemptions will not apply, and the Government will withhold a 2% Federal excise tax from each invoice.

(3) DFARS 252.229-7014: Included if the contractor is fully exempt based on IRS Form W-14.

(4) Exempt Treaty Countries: Austria, Iceland, Slovak Republic, Bangladesh, Italy, Slovenia, Belgium, Jamaica, South Africa, Bulgaria, Japan, Spain, Canada, Latvia, Sri Lanka, Czech Republic, Lithuania, Sweden, Denmark, Luxembourg, Switzerland, Estonia, Malta, Turkey, Finland, Mexico, United Kingdom, Germany, Netherlands, Venezuela, Hungary, Portugal.

Price Proposal Submission Requirements (Factor 1)

Quoters shall complete and submit pricing for CLIN 0001 and CLIN 0002 directly on the SF 1449.

Prices may be entered in U.S. Dollars ($) or Euros (). Use exactly two decimal places.

Prices must be fully loaded (inclusive of all G&A, overhead, fees, insurance, profit, and shipping /delivery costs FOB Destination to:

USAG Bavaria

DPW, O&M Div, Building 140

Rose Barracks, Vilseck, 92249

Germany

Prices must exclude taxes and duties for which the U.S. Government is exempt.

Technical Submission Requirements (Factor 2)

The technical volume must consist of:

Subfactor 1 -- Salient Characteristics: Provide the manufacturer's product specification sheet for the exact model being offered. The specification sheet must clearly demonstrate that the equipment meets or exceeds all minimum salient characteristics listed in Attachment 1 - Product Specifications - Sewer Cleaning and Sludge Disposal Pump Truck.

Subfactor 2 -- Subcontracting Information: Quoters must submit either (1) a written statement certifying that all deliveries will be executed exclusively by the prime quoter, OR (2) a list of proposed subcontractors, joint ventures, or business partners, including contact information, work assignments, and signed Letters of Intent on each subcontractor's letterhead confirming their commitment to perform.

Subfactor 3 -- Trade Agreements (End Product Certification): Quoters must submit a written statement certifying that the country of origin of the end product is the United States, a "Qualifying Country" IAW R-DFARS 252.225-7021, or a "Designated Country" IAW R-DFARS 252.225-7021.

Subfactor 4 -- Warranty Information: Provide documentation demonstrating a manufacturer's warranty of at least 1 year (12 months) or the standard commercial warranty, whichever is longer, covering defects in performance, material, and workmanship (matching the evaluation requirements IAW RFO FAR 52.212-2).

Supplier Performance Risk (Factor 3)

Quoters must provide their Commercial and Government Entity (CAGE) Code.

Quoters with a Yellow or Red score in the Supplier Performance Risk System (SPRS) must submit a brief Risk Mitigation Plan (not to exceed 5 pages) with their quote addressing their historical performance issues. Quoters with Green, Purple, Blue, Grey, or Black ratings, or those with no record, do not need to submit a plan.

AMC-Level Protest Program (5152.233-4002)

Complaints should first be discussed with the Contracting Officer. However, formal protests may be sent to Headquarters, U.S. Army Materiel Command (AMC), Office of Command Counsel- Deputy Command Counsel, 4400 Martin Road, Rm: A6SE040.001, Redstone Arsenal, AL 35898- 5000 (Fax: 256-450-8840, Email: usarmy.redstone.usamc.mbx.protests@army.mil). Procedures are located at https://www.amc.army.mil/Connect/Legal-Resources/.

11:
6 ISSUED BY CODE 7 ADMINISTERED BY If other than Item 6 CODE W912PB:
SCD PAS:
8 NAME AND ADDRESS OF CONTRACTOR Number street county State and ZIP Code:
9B DATED SEE ITEM 11:
10 SEP 2026:
FACILITY CODE:
undefined:
CODE:
FACILITY CODE_2:
The above numbered solicitation is amended as set forth in Item 14 The hour and date specified for receipt of Offers: Off
is extended: Off
is not extended: Off
undefined_2:
A THIS CHANGE ORDER IS ISSUED PURSUANT TO Specify authority THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NUMBER IN ITEM 10A:
undefined_3:
undefined_4:
C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
undefined_5:
D OTHER Specify type of modification and authority:
is not: Off
is required to sign this document and return: Off
copies to the issuing office:
15A NAME AND TITLE OF SIGNER Type or print:
16A NAME AND TITLE OF CONTRACTING OFFICER Type or print:
15C DATE SIGNED:
16C DATE SIGNED:

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