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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT <br />1. CONTRACT ID CODE <br />PAGE OF PAGES <br />Donald Vicena <br />15B. CONTRAC R/OFFEROR� <br />1 1 2 <br />2. AMEN DMENTIMODIFICATION N0, <br />3. EFFECTIVE DATE <br />4. REQUISITION/PURCHASE REQ. N0, <br />5. PROJECT NO. (If applicable) <br />0001 <br />See Block 16C <br />(Signature ofperson authorized to sign) <br />(Signature of Contracting Officer) <br />6. ISSUED BY CODE LHW <br />7. ADMINISTERED BY (Ifother than Item 6) CODE LHW <br />BLM OR -SPOKANE DIST OFC(ORW00) <br />BLM OR SPOKANE DIST OFC(ORW00) SA <br />1103 N FANCHER ROAD <br />1103 N FANCHER ROAD ��w.• <br />NV <br />SPOKANE WA 99212 <br />SPOKANE WA 99212 o - <br />14 201, <br />K1TrI7-AS CO <br />8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State andZIPCode) <br />(x) <br />9A. AMENDMENT OF SOLICITATION NO. <br />CITTITAS, COUNTY OF <br />9B. DATED (SEE ITEM 11) <br />>ttn: ATTN GOVERNMENT POC <br />105 W 5TH AVE STE 108 <br />=ENSBURG WA 98926-2887 <br />X <br />10A. MODIFICATION OF CONTRACT/ORDER N0. <br />L152XO1278 <br />10B. DATED (SEE ITEM 13) <br />08/21/2015 <br />CODE 0070136992 <br />FACILITY CODE <br />'1'I. 1 Hla I I CIVI UNLi AYYLICA l u AIVICIVUIVICIV I A ur AULM IN I IUIVJ <br />❑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. <br />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 <br />Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By <br />separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT <br />THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER If by <br />virtue of this amendment you desire to change an offer already submitted, such change maybe made by telegram or letter, provided each telegram or letter makes <br />reference to the solicitation and this amendment, and is received prior to the opening hour and date specified, <br />12. ACCOUNTING AND APPROPRIATION DATA(Ifrequired) Net Decrease: -$465.00 <br />01 <br />13. THIS ITEM ONLYAPPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. <br />ONE I A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT <br />ORDER NO. IN ITEM 10A. <br />B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, <br />appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). <br />X I Close-out FAR Part 4.804-5 (a) (15) <br />E. IMPORTANT: Contractor ❑ is not, x❑ is required to sign this document and return 1 copies to the issuing office. <br />14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) <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 />Reason for Modification : Close Out <br />Total Amount for this Modification: -$465.00 <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 this modification: -$465.00 <br />Continued ... <br />Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect. <br />15A. NAME AND TITLE OF SIGNER (Type or print) <br />16A. NAME AND TITLE OF CONTRACTING OFFICER (Type orprint) <br />G1,4 11-C 1- cur"a S;'v tri "1 <br />Donald Vicena <br />15B. CONTRAC R/OFFEROR� <br />15C. DATE SIGNED <br />16B. UNITED STATES OF AMERICA <br />16C. DATE SIGNED <br />:,) <br />(Signature ofperson authorized to sign) <br />(Signature of Contracting Officer) <br />NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83) <br />Previous edition unusable Prescribed by GSA <br />FAR (48 CFR) 53.243 <br />Wol <br />x <br />'RIFF <br />