ML20207B764

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Mod 5,providing CY87 Funds & Revising B&R & Appropriation Numbers,To Radiation Monitoring Program Requirements
ML20207B764
Person / Time
Issue date: 12/12/1986
From: Hagey H
NRC OFFICE OF ADMINISTRATION (ADM), OREGON, STATE OF
To:
Shared Package
ML20207B762 List:
References
CON-FIN-B-8554, CON-NRC-32-83-685 NUDOCS 8612290090
Download: ML20207B764 (2)


Text

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1. CONTRACT ID CODE PAGE OF FAG AMENDMENT C F SOLICITATION / MODIFICATION O F CONTRACT 1

g2

2. AMENOMEN1/MODir SCAT eoM NO.

3.EP FECTIVE DATL

4. PEQUssilsON/PU8tCHASE REO. NO.

S. PROJECT NO. #f apphrate i

5 1/l/87 RG5 685 dtd.

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e. ADMINISTERED ev of.me, men iM-s#

I CODE CODE U.S. Nuclear Regulatory Comission Division of Contracts Washington, DC 20555

8. NAME AND ADDRESS OF CONT RACTOR (No etreet. county. Saser end 1JP Code)

.A. AMENDMENT OF SOLICITATION e*0.

Oregon State Health Division 1400 S. W. 5th Avenue ee OATEDistaiTamssi Portland, OR 97201 toA. gDIF ICATION OF CONT R ACT/OS DI y

'iRC-32 685 108. DAT LD tsEE ITEM J3b CODE l FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS The above numbered noticitation is emended as set forth in item 14. The hour and date specified for receipt of Offer:

is exwnded.

is rt:n s on.ed.

Offers must ocknowledge receipt of this emendment prior to the hour emi date specified in the solicitation or es emended. by one of the following methocs le) By completing atoms 8 and 15.and retuming copies of the emendmerit: lb) By eckncnviedging receipt of this amendment on each copy of EM c*1 submitted; or Icl By esperate letter or telegram whidi includes a re'erence to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOEED:

MENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR To THE HOUR AND DATE SPECIFIED MAY RESJL IN F! EJECTION OF YOUR OFFEn. If by virtue of this emendment you des!rs to change en effer already submitted.such change may be rnede try #leire later.provided each telegram or letter makes referone to the solicitation and this amendment, and is rocsived prior to the opentrie hour and dets specif asc. 'n

12. ACCOUNTING AND APPROPRIATeON DATA #f reemired)

APPN No. 31X0200.957 B&R No. 95-19-30-01-4 FIN No. B8554 091 If1ATF-

$ 19 Ann on

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS / ORDERS, IT MODIFIESTHE CONTRACT / ORDER NO. AS DESCRIBED IN ITEM 14.

W3 "'IrRYCS*OR8ER NO

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x *i,"A^/3 RYA l."r n",'sifMiO*.WM!'s'.'PM'f4N8#n*UTaWs M'W1."44."^" '*" " ""' '" *"'

C. THIS SUPPLEMENTAL AGREEMENT 15 ENTEREO INTO PUR5UANT TO AUTHORITY OFa D.OTHER (Specify type of modificesson and sushority) pg 00 O 861212 NRC-32-93'bB5 PDR E. IMPORTANT: Contractor is not, is required to sign this docurnent and return Copies to the issuing offim.

3-DESCRlPT80N OF AMENDMENT /MODIFICAT80N (Oreentaed by UCFeretion headinse,includme soldefestion/ con truet ent(sei metter aphere pressbar.s The purpose of this modification is to provide CY 1987 funds.

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1.

Article V - Consideration and Payment, A. Consideration Paragraph 3 is deleted in its entirety and the following new paragraph is substituted in lieu thereof:

"3. The amount presently obligated by the Comission With respect to this cooperative agreement for the CY 1987 effort is $ 12,600.00" E

t s provloed berein, all termswd conditions et the document referenced in item.A or 10A, as heretofore theneed. remains uneneneed and in f ull terco ISA. NAME AND TITLE OF StGNER (Type orpnnt) 16A.NAME AND TsTLE OF CONT RACTlNG OFFICER (Type orpraate Helen Hagey /[

/

358. CONT R ACTOR /OFF EROR 1SC. DATE 58GNED 168. UNIT EO ST F

16C.DATE StGNC l

BY

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nonenetwo of person sumanaed no onens (sieneur er Contreersne omoses l

2-e070_

30 105 STANDARD FDetM Rn serv e n.se

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9

-2 2.

The APPN No. "31X0200.956" cited in Block No.12. Accounting and Appropriation Data is changed to APPN No. "31X0200.957.'!

3.

The B&R No. "95193002-01" cited in Block No.12. Accounting and App opriation Data is changed to "95-19-30-01-4.'"

All other terms and conditions of this cooperative agreement remains unchanged.

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