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AMENDMENT OF 80UCITATIONlMODIFICATION OF CONTRACT 11. CONTRACT ID CODe 1 ".>,(): i PAGES 2
<br />2. MlENOMEIIU rlC DIF IC>\TIOH NO. 3. EFFECTIVE DATE 4. REaUISrTlONIPURCHASE REa NO. la. PROJECT NO. (11 applicable)
<br />0001 See Block 16C
<br />6.ISSllE D BV CODE LHW 7. ADMINISTERED BY III other than Item 8) cQOI! jLBW
<br />BLM OR-SPOKANE DIST BLM OR SPOKANE D1ST OFC(ORWOO)
<br />1103 N FANCHER ROAD 1103 N FANCHER ROAD
<br />SPOKANE WA 99212 SPOKANE WA 99212
<br />OFC(ORWOO) ReCEIVE
<br />DEC '; 20'
<br />o
<br />6
<br />KITTITAS COUNTVL'
<br />B, NAM E-ANo ADDRESS OF CONTRACTOR tNo., I/r8eI, 1l0II1I)', _ ond ZIP Code) ,!& GII.II MENDM OOT OF SOllcm~'nON I'ICl
<br />ITTITAS, COUNTY OF
<br />ttn: ATTN GOVERNMENT
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<br />POC 91,': OA1<OjSEI'lITe,I /I)
<br />05 W 5TH AVE STE 108
<br />LLENSBURG WA 98926-2887
<br />'1011,. MO D IFl.'~~N or: CO ~mv..Cl1OR [)~A /lU, x L151;'KO
<br />1011. CAT ED /,s""1TE'M I~
<br />CODe 0070136992 FACILITY CODE 09/21/2015
<br />1~. THI5oI'Tl;M OrlLl "pr~lEIIlO ~ ME IlMHHfII OF lItIUCITA1101«1
<br />OTheIbcm runbered 1OI1cIt1l1on 11 amended .... 1 forth In lem 14, The h<uand dill. opeclfIed!or recelpl of 0fIer. Oil extended, Ola nclllldandod,
<br />OIIm mlai ~. receipt 0I1h1l emendmont prlor to 111. hour and cia .pedflod In Ihe sollcllalion or al ","""ded , by one of Ihe fal\owl1a mel1od.: (a) By campletlnv
<br />Mamt a and 16, II'Id returnlng oopIaa 01111. ImendmenI; (h) By laMowledglng reoalpl of 11111 amendment on each copy cl Ihe ofIar aubmMlad; Ill' (0) By
<br />aepII'B\e letter or 1eIegram..t1loh InolIdn • rer.,.._lo the IOlIcilalion II'Id amendmonl n.mber.. FAILURE OF YOUR ACKNO'M.EDGEMENT TO BE RECEIVED AT
<br />THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AHD DATE SPECIFIED MAY RESIJI. T IN REJECTION OF YOUR OFFER If by
<br />vii .. 0I1hIo MIIfldmIfll ~ deolr. to cI\angIt ., elrer shady IUbmllled , ouch ch8ngo may be made by telegram Ill' letter, provIdad IIIIdllfilgnlm or lI\Ier mew
<br />!'!!!IJng! IQ Iht !C!Ic!!I!!on Q1 !ha trn!I1<ImA and 11 ay!!! !!!1or 10 II1a !Pllno hour and de!! aoacI!!td,
<br />12. ACCOUNTlNG AHD APPROPRIATION DATA (WreqlJl8d) Net Decrease: -$ 4 65.00
<br />01
<br />13. THIIITI!II ONLY APPUES TO MODlPICAnllN OF CONTRACTSIORDERB. IT MODIFIES THE CON'IlIACTIORIlER NO, AS DESCRIBED IN ITEM 14.
<br />Clq!~k O~E A.1r:[R~~~ ~E~J ISSUED PURSUANT TO: (S~ eu/horlty) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT
<br />B, THE ASOIIE NUMBERED CONTRACTIORDER IS MODIFIEO TO REFLECT THE ADMINISTRATIVE CHANGES (1UCh 88 chenga.ln peylnv oHIce,
<br />Ippmp1IeIion dale, I!/p,) SET FORTH IN ITEM t4, PURSUAHTTO THE AUTHORITY OF FAR 43.103(b),
<br />c. TtllS S\JI'Pl.EMENTALAIDlEIi"1E.NT 18 E.r~EO INTO PUfU!UAtlfWIIV'THOfUfY OF
<br />0 , oTHER (8p~ (1p.. Of ~ Ilil/J tullJtClJlj)
<br />X Cloae-out FAR Part 4.804-5 (a) (l5)
<br />E.IMPORTANT: ConIr8clor 011 not. I&J I1 reqWad to .Ign l11li docunent and ~urn 1 copI .. lo lI1allllJlng oIIIc8,
<br />1~ DESCRIPT10N OF AMENDMENTIMODlFICATlON 10t;anI2811 by UCFeactJon hMdIngl, Inclutfng aoIIcIIe/JcnIConInJct tWbjacl meJter wheI8 MaIIb/e.)
<br />The period of performance for Supplemental Law Enforcement patrol services under this award
<br />has ended; the final payment has been completed, This modification is initiated to
<br />de-obligate the remaining funds in the amount of $465,00 and close out this award.
<br />LIST OF CHANGES: ~
<br />v,,<; A/FP
<br />Reason for Modification : Cloae Out
<br />Total Amount for this Modification: -$465.00 RECEIVED
<br />New Total Obligated Amount for this Award: $24,535.00
<br />CHANGES FOR LINE ITEM NUMBER: 10
<br />Total Amount changed
<br />from $25,000.00 to $24,535.00
<br />Obligated Amount for thia modification: -$465.00
<br />Continued .. .
<br />KITTITAS COUNTY ~H~~lFf
<br />ACCOUNTING
<br />~ 88' pr~ I ... "" .. lann. and concIIlona 0/ I/1e doeunanl rw/.,.."ced In ~am 9 A 0, 10,," •• hereto/ore cI!~, rem"'. ,,'laIlnoocI lI'Id In tu. foroa and eIIect .
<br />18.<\ NAIl", AND TTTLE OF 91OflI~R ffioPII 0I1/111rJJ leA. tlAME AND TITLE OF CONTRAC n NO O~F1CEIl (Type orprlnt)
<br />Donald Vicena
<br />lSC. DATE SIGNED
<br />\ -It-lOll
<br />S'(,\NDIlRO FORM 30 (REV. 1Q.8S)
<br />Preaeribed by GSA
<br />FAR (4B CFR) 63,243
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