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Modification No. 001 to Task Order No. NRC-HQ-10-17-T-0001 Under Contract No. NNG15SC73B
	ML18032A310
Person / Time
Issue date:	02/01/2018
From:	Domonique Malone; Acquisition Management Division
To:	Murakami R; FOUR
References
	NNG15SC73B
	Download: ML18032A310 (3)
	v • d • e

___________

(x)

NRC-HQ-10-17-T-0001 x NNG15SC73B 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.

See Schedule 789007064 FOUR NRCHQ WASHINGTON DC 20555-0001 MAIL STOP TWFN-5E03 ACQUISITION MANAGEMENT DIVISION US NRC - HQ ZEROREQ-OCIO-18-0048 See Block 16C M0001 3

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13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.

is extended, Items 8 and 15, and returning 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 The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS FACILITY CODE CODE 10B. DATED (SEE ITEM 13) 10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11) 9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)

CODE

6. ISSUED BY PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.

3. EFFECTIVE DATE

2. AMENDMENT/MODIFICATION NO.

5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 04/03/2017 ATTN RYAN MURAKAMI 15413 SNOWHILL LN CENTREVILLE VA 201201148 CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT:

Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

x

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

X NNG15SC73B/NRC-HQ-10-17-T-0001 Reference Quote: Q2017-0586R1 This is a firm-fixed-price delivery order for Remedy software licenses, continuous support, and professional services.

The Period of Performance is March 31, 2017 - May 23, 2018.

The Contracting Officer Representative is as follows:

Henry Davis Email: Henry.Davis@nrc.gov Phone: 301-415-0713 Continued...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print) 15A. NAME AND TITLE OF SIGNER (Type or print) 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED (Signature of person authorized to sign)

(Signature of Contracting Officer)

DOMONIQUE MALONE STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243 NSN 7540-01-152-8070 Previous edition unusable 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.

02/01/2018

ITEM NO.

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT NAME OF OFFEROR OR CONTRACTOR 2

3 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF FOUR (A)

(B)

(C)

(D)

(E)

(F)

NNG15SC73B/NRC-HQ-10-17-T-0001/M0001 The Contractor Representative is as follows:

Brad Mowbray E-Mail:bmowbray@fourinc.com Phone:703-622-3968 Fax:703-563-9652 Summary:

Base and Exercised Options:$282,161.52 Obligated Amount: $282,161.52 Base and all Options: $431,948.52 The purpose of this modification is to reflect a change to the Contracting Officer's Representative (COR) designation from Richard Ousley to Henry Davis and add Richard Ousley as the alternate COR.

Accordingly, the following sections are hereby revised as follows:

2052.215-71 PROJECT OFFICER AUTHORITY. (OCT 1999)

(a) The contracting officer's authorized representative hereinafter referred to as the project officer for this contract is:

Name: Henry Davis Address: U.S. Nuclear Regulatory Commission One White Flint North 11555 Rockville Pike Rockville, MD 20852-2738 Telephone Number: 301-415-0713 Alternate COR:

Name: Richard Ousley Address: U.S. Nuclear Regulatory Commission One White Flint North 11555 Rockville Pike Rockville, MD 20852-2738 Telephone Number: 301-415-5220 PLACE OF DELIVERY-REPORTS The items to be furnished hereunder shall be delivered, with all charges paid by the Contractor, to:

Contracting Officers Representative (COR)

U.S. Nuclear Regulatory Commission:

a. Name: Henry Davis (electronic)

Continued...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

ML18032A310

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