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Award Bid Option 1. CONTRACT ID CODE PAGE OF PAGES AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT J 1 2 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If Applicable) SEE BLOCK 16C W31XNJ12325857 6. ISSUED BY CODE CESAM 7. ADMINISTERED BY (If other than item 6) CODE GS Mobile District 7 SFG Resident Office P.O. Box 2288, 109 St. Joseph Street 15 Tenth Avenue Mobile, AL 36628-0001 Shalimar, FL 32579 8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO. Prime Contracting Inc. 123 Anywhere Street 9B. DATED (SEE ITEM 11) Mobile AL 36666 10A. MODIFICATION OF CONTRACT/ORDER X W91278-11-C-1111 NA 10B. DATED (SEE ITEM 13) CODE FACILITY CODE 20 Dec 2010 11. THIS ITEM APPLIES ONLY 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 ex-, tended. Offers must acknow ledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the follow ing methods: (a) By completing items 8 and 15, and returning ______ copies of the amendment; (b) By acknow ledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram w hich includes a reference to the solicitations and amendment numbers. FAILURE OF YOUR ACKNOWLEDG- EMENT 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 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 date specified. 12. ACCOUNTING AND APPROPRIATION DATA 57-NA-2002-3300-0000 2KHB96 Contract Amount Increased $50,000.00. 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify Authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CON- TRACT 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) X 52.0217-0007- Option for Increased Quantities - Separately Priced Line Item E. IMPORTANT: Contractor X is not, is required to sign this document and return original and ______ copies to the issuing office. 14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) Contract for Administration Building at Irvington, AL(Mobile County). Reference No. R00005 CD005 Award Bid Option See Page 2. 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) Contracting Officer 15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED BY (Signature of person authorized to sign) 7/30/2002 (Signature of Contracting Officer) 7/30/2011 NSN 7540-01-152-8070 30-105-2 STANDARD FORM 30 (REV. 10-83) PREVIOUS EDITION UNUSABLE PRESCRIBED BY GSA FAR (48 CFR) 53.243 June 2012 Exhibit 2.11E This printed copy is for “Information Only.” The controlled version resides on the SAD Contract Administration Website. DATE SIGNED PAGE OF PAGES MODIFICATION OF CONTRACT See Block 16C 2 2 Contract No: W91278-11-C-1111 NA Reference No. R00005 Modification No: Contractor: Prime Contracting Inc. Contract Title: Administration Building Location: Irvington, AL(Mobile County) 14. DESCRIPTION OF MODIFICATION (Continued) A. SCOPE OF WORK CD005 Aw ard Bid Option The contract is modified to exercise award of Bid Option Number 1 (CLIN 0005). Receipt Acknowledged: _____________________________________ B. CHANGE IN CONTRACT PRICE Total contract price is increased by $50,000.00. New CLINs CLIN UNIT CHANGE No. DESCRIPTION QUANTITY PRICE AMOUNT 0005 Building 500 Renovations 1.00 LS $50,000.00 $50,000.00 Total Change Amount $50,000.00 C. CHANGE IN CONTRACT TIME The contract completion date shall remain unchanged by this modification. D. CHANGE IN CONTRACT SCHEDULE Contractor will submit revised activity schedule to include this modification. E. CLOSING STATEMENT None STANDARD FORM 30 (REV. 10-83) June 2012 Exhibit 2.11E This printed copy is for “Information Only.” The controlled version resides on the SAD Contract Administration Website.
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