ML19235A263

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Modification No. 005 to Interagency Agreement No. NRC-HQ-40-17-I-0011
ML19235A263
Person / Time
Issue date: 08/23/2019
From: Joseph Widdup
Acquisition Management Division
To:
References
NRC-HQ-40-17-I-0011
Download: ML19235A263 (2)


Text

1. IAA NO. PAGE OF INTERAGENCY AGREEMENT NRC-HQ-40-17-I-0011/M0005 1 2

2. ORDER NO. 3. REQUISITION NO. 4. SOLICITATION NO.
5. EFFECTIVE DATE 6. AWARD DATE 7. PERIOD OF PERFORMANCE 08/12/2019 08/12/2019 10/01/2017 TO 09/30/2022
8. SERVICING AGENCY 9. DELIVER TO FEDERAL OCCUPATIONAL HEALTH ALAN DELEON ALC: US NUCLEAR REGULATORY COMMISSION DUNS: 000000009 +4: 11555 ROCKVILLE PIKE 7700 WISCONSIN AVENUE SUITE 9317 TWO WHITE FLINT NORTH BETHESDA MD 20814 MAIL STOP 7 B12 ROCKVILLE MD 20852-2738 POC Cdr. Robert Gibbs TELEPHONE NO. 301-492-4550
10. REQUESTING AGENCY 11. INVOICE OFFICE ACQUISITION MANAGEMENT DIVISION US NUCLEAR REGULATORY COMMISSION ALC: 3100 ONE WHITE FLINT NORTH DUNS: +4:

US NUCLEAR REGULATORY COMMISSION 11555 ROCKVILLE PIKE TWO WHITE FLINT NORTH MAILSTOP O3-E17A 11555 ROCKVILLE PIKE ROCKVILLE MD 20852-2738 MAIL STOP 7 B20 ROCKVILLE MD 20852-2738 POC Sara Feki TELEPHONE NO. 301-348-5773

12. ISSUING OFFICE 13. LEGISLATIVE AUTHORITY US NRC - HQ ACQUISITION MANAGEMENT DIVISION MAIL STOP TWFN-8E06M ATTN MARK LOHRMANN 14. PROJECT ID WASHINGTON DC 20555-0001
15. PROJECT TITLE FEDERAL OCCUPATIONAL HEALTH PROGRAM SUPPORT CENTER
16. ACCOUNTING DATA See Schedule
17. 18. 19. 20. 21. 22.

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT Master IAA: N/A The purpose of this modification is to change the primary COR from Richard Branch to Alan Deleon and designate Nicole Goldsby as the alternate COR.

Mr. Deleon may be reached at:

Email: Alan.DeLeon@nrc.gov Telephone Number:301-415-7830 Ms. Goldsby may be reached at:

Email: Nicole.Goldsby@nrc.gov Continued ...

23. PAYMENT PROVISIONS 24. TOTAL AMOUNT

$0.00 25a. SIGNATURE OF GOVERNMENT REPRESENTATIVE (SERVICING) 26a. SIGNATURE OF GOVERNMENT REPRESENTATIVE (REQUESTING) 25b. NAME AND TITLE 25c. DATE 26b. CONTRACTING OFFICER 26c. DATE JOSEPH L. WIDDUP 08/23/2019

IAA NO ORDER NO PAGE OF NRC-HQ-40-17-I-0011/M0005 2 2 Telephone Number: 301-415-7390