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{{#Wiki_filter:___________(x)x NRC-HQ-84-15-C-0003copies 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. FALURE 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  
{{#Wiki_filter:1. CONTRACT D CODE                                    PAGE OF PAGES AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1                3
 
: 2. AMENDMENT/MODIFICATION NO.                                  3. EFFECTIVE DATE                        4. REQUISITION/PURCHASE REQ. NO.                          5. PROJECT NO. (If applicable)
to the solicitation and this amendment, and is received prior to the opening hour and date specified.
M0003                                                          See Block 16C                          ZEROREQ-OCHCO-17-0087
2015-X0200-FEEBASED-84-84D003-11-N-157-1294-251F 966862823 C R ELECTRICAL DISTRIBUTION SERVICES INC NRCHQ WASHINGTON DC 20555-0001 MAIL STOP TWFN-8E06M ACQUISITION MANAGEMENT DIVISION US NRC - HQ ZEROREQ-OCHCO-17-0087 See Block 16C M0003 3 113. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.12. ACCOUNTNG AND APPROPRIATION DATA (If required) is not extended.is extended tems 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 completingThe above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONSFACLITY CODE CODE 10B. DATED (SEE ITEM 13)10A. MODIFICATION OF CONTRACT/ORDER NO.9B. DATED (SEE ITEM 11)9A. AMENDMENT OF SOLICITATION NO.
: 6. ISSUED BY                                            CODE  NRCHQ                                    7. ADMINISTERED BY (If other than Item 6)              CODE US NRC - HQ ACQUISITION MANAGEMENT DIVISION MAIL STOP TWFN-8E06M WASHINGTON DC 20555-0001
CODE 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)7. ADMINISTERED BY (If other than Item 6)
: 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
CODE 6. ISSUED BYPAGE  OF  PAGES
(x) 9A. AMENDMENT OF SOLICITATION NO.
: 4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DA TE2. AMENDMENT/MODIFICATION  NO. 5. PROJECT NO. (If applicable)1. CONTRACT D CODEAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 08/04/2015 ATTN JAMES CANNING 707 ALEXANDER LEE PKWY WILLIAMSBURG VA 231855857 CHECK ONEA. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACTB. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFED TO REFLECT THE ADMNISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
C R ELECTRICAL DISTRIBUTION SERVICES INC ATTN JAMES CANNING                                                                                          9B. DATED (SEE ITEM 11) 707 ALEXANDER LEE PKWY WILLIAMSBURG VA 231855857 x 10A. MODIFICATION OF CONTRACT/ORDER NO.
D. OTHER (Specify type of modification and authority) appropriation date, etc.)  SET FORTH N 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.
NRC-HQ-84-15-C-0003 10B. DATED (SEE ITEM 13)
FAR 52.217-9 Option to Extend the Term of the Contract x14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.
CODE                                                          FAC LITY CODE                                08/04/2015 966862823
)X 1 Exercise of Option The purpose of this modification is to:
: 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.
: 1. Exercise Option Year 2 of the contract, thereby extending the period of performance of
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 tems 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. FA LURE 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. ACCOUNT NG AND APPROPRIATION DATA (If required) 2015-X0200-FEEBASED-84-84D003-11-N-157-1294-251F
the contract by 12months from 09/30/2017 to 09/29/2018. The first sentence of F.1 NRCF030B
: 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.
Period of Performance Alternate of the contract is changed as follows: "This contract shall
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIF ED TO REFLECT THE ADM NISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH N ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
 
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
commence on 09/30/2015 and will expire on 09/29/2018"; and
D. OTHER (Specify type of modification and authority)
: 2. Add Alternate COR to 2052.215-71 Project Authority (OCT 1999) - ALTERNATE II (OCT
X            FAR 52.217-9 Option to Extend the Term of the Contract E. IMPORTANT           Contractor                     is not, x is required to sign this document and return                 1        copies to the issuing office.
 
: 14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
1999), Section G.1, 2052.215-71 Project Authority (OCT 1999) - ALTERNATE II (OCT 1999),
Exercise of Option The purpose of this modification is to:
: 1. Exercise Option Year 2 of the contract, thereby extending the period of performance of the contract by 12months from 09/30/2017 to 09/29/2018. The first sentence of F.1 NRCF030B Period of Performance Alternate of the contract is changed as follows: "This contract shall commence on 09/30/2015 and will expire on 09/29/2018"; and
: 2. Add Alternate COR to 2052.215-71 Project Authority (OCT 1999) - ALTERNATE II (OCT 1999), Section G.1, 2052.215-71 Project Authority (OCT 1999) - ALTERNATE II (OCT 1999),
paragraph (a), delete in its entirety and replace with the following:
paragraph (a), delete in its entirety and replace with the following:
Continued ...16A. NAME AND TITLE OF CONTRACTNG OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)15C. DATE SIGNED16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR16C. DATE SIGNED (Signature of person authorized to sign)(Signature of Contracting Officer)
Continued ...
ERIKA EAM STANDARD FORM 30 (REV. 10-83)
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 .
Prescribed by GSAFAR (48 CFR) 53.243 NSN 7540-01-152-8070
15A. NAME AND TITLE OF SIGNER (Type or print)                                                             16A. NAME AND TITLE OF CONTRACT NG OFFICER (Type or print)
ERIKA EAM 15B. CONTRACTOR/OFFEROR                                                        15C. DATE SIGNED          16B. UNITED STATES OF AMERICA                                       16C. DATE SIGNED 09/20/2017 (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


Previous edition unusableExcept 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.
REFERENCE NO. OF DOCUMENT BEING CONTINUED                                      PAGE      OF CONTINUATION SHEET NRC-HQ-84-15-C-0003/M0003                                                        2          3 NAME OF OFFEROR OR CONTRACTOR C R ELECTRICAL DISTRIBUTION SERVICES INC ITEM NO.                              SUPPL ES/SERVICES            QUANTITY UNIT UNIT PRICE                  AMOUNT (A)                                         (B)                     (C)   (D)     (E)                         (F)
09/20/2017 ITEM NO.SUPPLES/SERVICES QUANTITYUNITUNIT PRICE AMOUNTNAME OF OFFEROR OR CONTRACTOR 2  3CONTINUATION SHEETREFERENCE NO. OF DOCUMENT BEING CONTINUEDPAGEOF C R ELECTRICAL DISTRIBUTION SERVICES INC (A)(B)(C)(D)(E)(F)NRC-HQ-84-15-C-0003/M0003
(a) The contracting officers authorized representative, hereinafter referred to as the project officer, for this contract is:
        "(a) The contracting officer's authorized representative, hereinafter referred to as the
 
project officer, for this contract is:
Name: James Biernik (COR)
Name: James Biernik (COR)
Email: James.Biernik@nrc.gov
Email: James.Biernik@nrc.gov Telephone: 423-855-7162 Name: Eric Riggs (Alternate COR)
 
Email: Eric.Riggs@nrc.gov Telephone: 423-855-6672 All other terms and conditions remain the same.
Telephone: 423-855-7162 Name: Eric Riggs (Alternate COR)
Email: Eric.Riggs@nrc.gov
 
Telephone: 423-855-6672" All other terms and conditions remain the same.
 
Obligated Amount: $61,412.00(Unchanged)
Obligated Amount: $61,412.00(Unchanged)
Exercised Ceiling amount: $164,480.00 (Changed)
Exercised Ceiling amount: $164,480.00 (Changed)
 
Period of Performance: 09/30/2015 to 09/29/2018(Changed)
Period of Performance: 09/30/2015 to
 
09/29/2018(Changed)
LIST OF CHANGES:
LIST OF CHANGES:
Reason for Modification : Exercise an Option
Reason for Modification : Exercise an Option Period Of Performance End Date changed from 29-SEP-17 to 29-SEP-18 Total Amount for this Modification: $0.00 New Total Amount for this Version: $164,480.00 New Total Amount for this Award: $309,980.00 Contracting Officer changed from FATIMA     SHULER to  ERIKA     EAM New Issuing Address:
 
U.S. NRC - HQ Acquisition Management Division Mail Stop: TWFN-8E06M Washington DC 20555-0001 New Administration Address:
Period Of Performance End Date changed from
U.S. NRC - HQ Acquisition Management Division Mail Stop: TWFN-8E06M Washington DC 20555-0001 IPP Business Unit changed to :
 
GREATERTHANEQ25000 CHANGES FOR LINE ITEM NUMBER: 20001 Total Amount changed from $42,200.00 to $0.00 Exercised option Continued ...
29-SEP-17 to 29-SEP-18
NSN 7540-01-152-8067                                                                            OPTIONAL FORM 336 (4-86)
 
Sponsored by GSA FAR (48 CFR) 53.110
Total Amount for this Modification: $0.00
 
New Total Amount for this Version: $164,480.00
 
New Total Amount for this Award: $309,980.00
 
Contracting Officer changed
 
from FATIMA   SHULER to  ERIKA   EAM
 
New Issuing Address:
U.S. NRC - HQ
 
Acquisition Management Division
 
Mail Stop: TWFN-8E06M
 
Washington DC 20555-0001 New Administration Address:
U.S. NRC - HQ
 
Acquisition Management Division
 
Mail Stop: TWFN-8E06M
 
Washington DC 20555-0001 IPP Business Unit changed to :
GREATERTHANEQ25000
 
CHANGES FOR LINE ITEM NUMBER: 20001
 
Total Amount changed
 
from $42,200.00 to $0.00
 
Exercised option
 
Continued ...
NSN 7540-01-152-8067OPTIONAL FORM 336 (4-86)
Sponsored by GSA
 
FAR (48 CFR) 53.110 ITEM NO.SUPPLES/SERVICES QUANTITYUNITUNIT PRICE AMOUNTNAME OF OFFEROR OR CONTRACTOR 3  3CONTINUATION SHEETREFERENCE NO. OF DOCUMENT BEING CONTINUEDPAGEOF C R ELECTRICAL DISTRIBUTION SERVICES INC (A)(B)(C)(D)(E)(F)NRC-HQ-84-15-C-0003/M0003 Discount Terms1: 30 CHANGES FOR LINE ITEM NUMBER:  1 Total Amount changed
 
from $122,280.00 to $164,480.00
 
Discount Terms1: 30 CHANGES FOR DELIVERY LOCATION: TTC Amount changed from $122,280.00 to $164,480.00
 
Delivery Date changed from 09/30/2015 to
 
09/30/2020 Delivery: 09/30/2020 Delivery Location Code: TTC
 
US NRC TECHNICAL TRAINING CENTER
 
OSBORNE OFFICE CENTER
 
5746 MARLIN ROAD SUITE 200
 
CHATTANOOGA TN 37411-5677 USA NSN 7540-01-152-8067OPTIONAL FORM 336 (4-86)
Sponsored by GSA


FAR (48 CFR) 53.110}}
REFERENCE NO. OF DOCUMENT BEING CONTINUED                                      PAGE      OF CONTINUATION SHEET NRC-HQ-84-15-C-0003/M0003                                                        3          3 NAME OF OFFEROR OR CONTRACTOR C R ELECTRICAL DISTRIBUTION SERVICES INC ITEM NO.                              SUPPL ES/SERVICES            QUANTITY UNIT UNIT PRICE                  AMOUNT (A)                                        (B)                    (C)    (D)    (E)                          (F)
Discount Terms1: 30 CHANGES FOR LINE ITEM NUMBER: 1 Total Amount changed from $122,280.00 to $164,480.00 Discount Terms1: 30 CHANGES FOR DELIVERY LOCATION: TTC Amount changed from $122,280.00 to $164,480.00 Delivery Date changed from 09/30/2015 to 09/30/2020 Delivery: 09/30/2020 Delivery Location Code: TTC US NRC TECHNICAL TRAINING CENTER OSBORNE OFFICE CENTER 5746 MARLIN ROAD SUITE 200 CHATTANOOGA TN 37411-5677 USA NSN 7540-01-152-8067                                                                            OPTIONAL FORM 336 (4-86)
Sponsored by GSA FAR (48 CFR) 53.110}}

Latest revision as of 18:19, 29 October 2019

Modification No. 003 to Contract No. NRC-HQ-84-15-C-0003
ML17263A780
Person / Time
Issue date: 09/20/2017
From: Eam E
Acquisition Management Division
To:
References
NRC-HQ-84-15-C-0003
Download: ML17263A780 (3)


Text

1. CONTRACT D CODE PAGE OF PAGES AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 3

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

M0003 See Block 16C ZEROREQ-OCHCO-17-0087

6. ISSUED BY CODE NRCHQ 7. ADMINISTERED BY (If other than Item 6) CODE US NRC - HQ ACQUISITION MANAGEMENT DIVISION MAIL STOP TWFN-8E06M WASHINGTON DC 20555-0001
8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

(x) 9A. AMENDMENT OF SOLICITATION NO.

C R ELECTRICAL DISTRIBUTION SERVICES INC ATTN JAMES CANNING 9B. DATED (SEE ITEM 11) 707 ALEXANDER LEE PKWY WILLIAMSBURG VA 231855857 x 10A. MODIFICATION OF CONTRACT/ORDER NO.

NRC-HQ-84-15-C-0003 10B. DATED (SEE ITEM 13)

CODE FAC LITY CODE 08/04/2015 966862823

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 tems 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. FA LURE 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. ACCOUNT NG AND APPROPRIATION DATA (If required) 2015-X0200-FEEBASED-84-84D003-11-N-157-1294-251F
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 MODIF ED TO REFLECT THE ADM NISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH N 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 52.217-9 Option to Extend the Term of the Contract E. IMPORTANT Contractor is not, x is required to sign this document and return 1 copies to the issuing office.

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

Exercise of Option The purpose of this modification is to:

1. Exercise Option Year 2 of the contract, thereby extending the period of performance of the contract by 12months from 09/30/2017 to 09/29/2018. The first sentence of F.1 NRCF030B Period of Performance Alternate of the contract is changed as follows: "This contract shall commence on 09/30/2015 and will expire on 09/29/2018"; and
2. Add Alternate COR to 2052.215-71 Project Authority (OCT 1999) - ALTERNATE II (OCT 1999), Section G.1, 2052.215-71 Project Authority (OCT 1999) - ALTERNATE II (OCT 1999),

paragraph (a), delete in its entirety and replace with the following:

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 CONTRACT NG OFFICER (Type or print)

ERIKA EAM 15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED 09/20/2017 (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-84-15-C-0003/M0003 2 3 NAME OF OFFEROR OR CONTRACTOR C R ELECTRICAL DISTRIBUTION SERVICES INC ITEM NO. SUPPL ES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F)

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

Name: James Biernik (COR)

Email: James.Biernik@nrc.gov Telephone: 423-855-7162 Name: Eric Riggs (Alternate COR)

Email: Eric.Riggs@nrc.gov Telephone: 423-855-6672 All other terms and conditions remain the same.

Obligated Amount: $61,412.00(Unchanged)

Exercised Ceiling amount: $164,480.00 (Changed)

Period of Performance: 09/30/2015 to 09/29/2018(Changed)

LIST OF CHANGES:

Reason for Modification : Exercise an Option Period Of Performance End Date changed from 29-SEP-17 to 29-SEP-18 Total Amount for this Modification: $0.00 New Total Amount for this Version: $164,480.00 New Total Amount for this Award: $309,980.00 Contracting Officer changed from FATIMA SHULER to ERIKA EAM New Issuing Address:

U.S. NRC - HQ Acquisition Management Division Mail Stop: TWFN-8E06M Washington DC 20555-0001 New Administration Address:

U.S. NRC - HQ Acquisition Management Division Mail Stop: TWFN-8E06M Washington DC 20555-0001 IPP Business Unit changed to :

GREATERTHANEQ25000 CHANGES FOR LINE ITEM NUMBER: 20001 Total Amount changed from $42,200.00 to $0.00 Exercised option Continued ...

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

Sponsored by GSA FAR (48 CFR) 53.110

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF CONTINUATION SHEET NRC-HQ-84-15-C-0003/M0003 3 3 NAME OF OFFEROR OR CONTRACTOR C R ELECTRICAL DISTRIBUTION SERVICES INC ITEM NO. SUPPL ES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F)

Discount Terms1: 30 CHANGES FOR LINE ITEM NUMBER: 1 Total Amount changed from $122,280.00 to $164,480.00 Discount Terms1: 30 CHANGES FOR DELIVERY LOCATION: TTC Amount changed from $122,280.00 to $164,480.00 Delivery Date changed from 09/30/2015 to 09/30/2020 Delivery: 09/30/2020 Delivery Location Code: TTC US NRC TECHNICAL TRAINING CENTER OSBORNE OFFICE CENTER 5746 MARLIN ROAD SUITE 200 CHATTANOOGA TN 37411-5677 USA NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110