ML17356A014
| ML17356A014 | |
| Person / Time | |
|---|---|
| Issue date: | 12/21/2017 |
| From: | Domonique Malone Acquisition Management Division |
| To: | Persson J Qualx Corp |
| References | |
| NRC-HQ-10-14-E-0005 | |
| Download: ML17356A014 (2) | |
Text
1. CONTRACT ID CODE PAGE OF PAGES AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 2
- 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)
M0014 See Block 16C ZEROREQ-OCIO-18-0033
- 6. ISSUED BY CODE NRCHQ 7. ADMINISTERED BY (If other than Item 6) CODE US NRC - HQ ACQUISITION MANAGEMENT DIVISION MAIL STOP TWFN-5E03 WASHINGTON DC 20555-0001
- 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
(x) 9A. AMENDMENT OF SOLICITATION NO.
QUALX CORPORATION ATTN JON PERSSON 9B. DATED (SEE ITEM 11) 6564 LOISDALE COURT SUITE 305 SPRINGFIELD VA 22150-1830 x 10A. MODIFICATION OF CONTRACT/ORDER NO.
NRC-HQ-10-14-E-0005 NRC-HQ-10-14-T-0001 10B. DATED (SEE ITEM 13)
CODE FACILITY CODE 06/24/2014 831798702
- 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 the offer submitted ; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 (If required)
See Schedule
- 13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. 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 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 FAR 43.103(b) Administrative Modifications E. IMPORTANT: Contractor x 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 modification is to add Kristen Benney as the Alternate Contracting Officer's Representative (Alt. COR).
Accordingly, Section E, CONTRACTING OFFICER'S REPRESENTATIVE (COR) Authority, paragraph (a)of this task is revised as follows:
(a) The contracting officer's authorized representative and alternate contracting officer's authorized representative hereinafter referred to as the COR and Alt. COR for this contract is:
Continued ...
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 .
15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
DOMONIQUE MALONE 15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED 12/21/2017 (Signature of person authorized to sign) (Signature of Contracting Officer)
NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83)
Previous edition unusable Prescribed by GSA FAR (48 CFR) 53.243
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF CONTINUATION SHEET NRC-HQ-10-14-E-0005/NRC-HQ-10-14-T-0001/M0014 2 2 NAME OF OFFEROR OR CONTRACTOR QUALX CORPORATION ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F)
Contracting Officer's Representative:
Name: Karen Danoff (unchanged)
Address: 11555 Rockville Pike (unchanged)
Rockville, MD 20852 (unchanged)
Telephone Number: (unchanged)
Email: Karen.Danoff@nrc.gov (unchanged)
Alternate Contracting Officer's Representative:
Name: Kristen Benney Address: 11555 Rockville Pike Rockville, MD 20852 Telephone Number:
Email: Kristen.Benney@nrc.gov All other terms and conditions remain unchanged.
Period of Performance: 07/01/2014 to 06/30/2018 NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA FAR (48 CFR) 53.110