OMB Control No. 1505-0081
1. CONTRACT ID CODE PAGE OF PAGES
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1 3
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)
0001 See Block 16C W-6-W2-03-TP-R03 000
6. ISSUED BY CODE IRS0088 7. ADMINISTERED BY (If other than Item 6) CODE
Internal Revenue Service
6009 Oxon Hill Road, Suite 500 See Item 6
Oxon Hill, MD 20745
VENO, NICOLETE C 202-283-2867
8. NAME AND ADDRESS OF CONTRACTOR (No. Street, county, State and ZIP: Code) (x) 9A. AMENDMENT OF SOLICITATION NO.
TIRNO-07-R-00004
Vendor ID: 00055905
TO ALL OFFERORS 9B. DATED (SEE ITEM 11)
BECKLEY FINANCE CENTER x
PO BOX 9002 10/22/2008
.BECKLEY, WV 25801
10A. MODIFICATION OF CONTRACT/ORDER NO.
10B. DATED (SEE ITEM 13)
CODE FACILITY CODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, X 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 PLAC E
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.
(x)
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 10A.
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 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.)
The purpose of this Amendment is to incorporate Attachment 3, Appendix G, entitled "E&IT Accessibility Evaluation"
into Solicitation TIRNO-07-R-00004. Amendment 0001, Attachment 3, Appendix G, E&IT Accessibility Evaluation
supersedes Appendix G, as set forth in the solicitation document.
All other terms and conditions remain unchanged.
Except at 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 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED
________________________________________________ BY _____________________________________________
(Signature of person authorized to sign) (Signature of Contracting Officer)
NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-83)
PREVIOUS EDITION UNUSABLE Computer Generated Prescribed by GSA
FAR (48 CFR) 53.243
TIRNO-07-R-00004 AMEND# 0001
Attachment 3
LIST OF APPENDICES
Appendix Title
No.
A. FAR 2.101 – Definition Of A Commercial Item
FAR 2.101 -
commercial item.pdf
Adobe Acrobat 7.0
Document
2009 Credit Card Bulk Provider Requirements 2009 Credit Card
FAR 2.101
B. Bulk Provider Requirements
Treasury Regulations 301.6311-2
C. Payment by Credit Card or Debit Card Treasury Reg
6311-2 Card payments.pdf
Reserved
D.
E. Past Performance Information
Past Performance
Information Form.pdf
F. Past Performance Questionnaire
Past Performance
Questionnaire.pdf
G.
E&IT Accessibility Evaluation
E&IT Accessibility
Evaluation Matrix.pdf
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TIRNO-07-R-00004 AMEND# 0001
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