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{{#Wiki_filter::.,,,.-,.=,--BPA NO. I CONTRACT ID CODE PAGE OF AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5 PROJECT NO.(If applicable)
{{#Wiki_filter::.,,,.-,.=,--BPA                                                                                         NO.                               I CONTRACT ID     CODE               PAGE                 OF AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
M005 See Block 16c ADM-11-113 6 ISSUED BY CODE 3100 7. ADMINISTERED BY (If other than Item 6) CODE 13100 U.S. Nuclear Regulatory Commission U.S. Nuclear Regulatory Commission Div. of Contracts Div. of Contracts Attn: Matthew J. Bucher Mail Stop: TWB-01-BlOM Mail Stop: TWB-01-BlOM Washington, DC 20555 Washington, DC 20555 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (x( 9A. AMENDMENT OF SOLICITATION NO KONICA MINOLTA BUSINESS SOLUTIONS USA INC 9SB. DATED (SEE ITEM 11)2100 WASHINGTON BLVD STE 100 I1A. MODIFICATION OF CONTRACT/ORDER NO.GS25FOO30M DR-10-07-607 ARLINGTON VA 222045714 10B. DATED (SEE ITEM 13)CODE 626578041 FACILITYCODE 333298 X 06-08-2008
: 2. AMENDMENT/MODIFICATION NO.                                                     3. EFFECTIVE DATE                     4. REQUISITION/PURCHASE REQ. NO.                                               5 PROJECT NO.(If applicable)
: 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS F7 The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, r7 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
M005                                                                               See Block 16c                   ADM-11-113 6 ISSUED BY                                                           CODE       3100                                 7. ADMINISTERED BY (If other than Item 6)                                     CODE   13100 U.S. Nuclear Regulatory Commission                                                                                 U.S.     Nuclear Regulatory Commission Div. of     Contracts                                                                                               Div.     of   Contracts Attn: Matthew J. Bucher                                                                                               Mail Stop: TWB-01-BlOM Mail Stop: TWB-01-BlOM Washington, DC 20555                                                                                                   Washington,           DC 20555
_ 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 AC-KNOWLEDGMENT 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.
: 8. NAME AND ADDRESS OF CONTRACTOR                 (No., street, county, State and ZIP Code)                                                                 (x(   9A. AMENDMENT OF SOLICITATION NO KONICA MINOLTA BUSINESS SOLUTIONS USA INC 9SB.DATED (SEE ITEM 11) 2100 WASHINGTON                 BLVD STE         100                                                                                                               I1A. MODIFICATION OF CONTRACT/ORDER NO.
: 12. ACCOUNTINGANDAPPROPRIATIONDATA (Ifrequired)
GS25FOO30M DR-10-07-607 ARLINGTON VA 222045714 10B. DATED (SEE ITEM 13)
B&R #:2011-40-51-F-191 JC:D2384 B.O.C:2570 APPN:31X0200.110 FSS Number: 110912 Obhl~iates Funds, S187.500.00
CODE       626578041                                                             FACILITYCODE     333298                                                       X     06-08-2008
: 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACTiORDER NO. AS DESCRIBED IN ITEM 14.(X) A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority)
: 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS F7 The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers                                                                 is extended, r7 is not extended.
THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM I1A.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).
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:
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: D. OTHER (Specify type of modification and authorty)
(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 AC-KNOWLEDGMENT 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.
Mutual Agreement of Both Parties E. IMPORTANT:
: 12. ACCOUNTINGANDAPPROPRIATIONDATA                     (Ifrequired)       B&R       #:2011-40-51-F-191                 JC:D2384         B.O.C:2570           APPN:31X0200.110 FSS Number: 110912 Obhl~iates Funds, S187.500.00
Contractor r- is not, E 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.)
: 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACTiORDER NO. AS DESCRIBED IN ITEM 14.
The purpose of this modification is to 1) provide incremental funding and 2) update the list of copiers under this GSA delivery order. First, incremental funding in the amount of $187,500.00 will be added to this contract, increasing the NRC obligation from $439,665.28 to $627,165.28.
(X) A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:                     (Specify authority)   THE CHANGES SET FORTH IN ITEM 14 ARE MADE INTHE CONTRACT ORDER NO. IN ITEMI1A.
Additionally, the list of copiers covered under this contract will be updated in accordance with attachment 1.Obligation:
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES                                       (such as changes in paying office, appropriation date, etc.)
627,165.28 Ceiling: $783,326.40 Period of Performance:
SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
October 1, 2007-September 30, 2012 Except as specified herein, all other terms, conditions and pricing remain unchanged and in full force and effect.Except 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.15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)Matthew J. Bucher Contracting Officer 15B. CONTRACTOR/OFFEROR 5.Ce DATE SIGNED lBS(S. UgnatuD---T  
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
'OFAM ý"ICý 16C. DATE SIGNED (Signature of person authorized to sign) (Signatu-~~
D. OTHER (Specify type of modification and authorty)           Mutual         Agreement       of   Both Parties E. IMPORTANT:                     Contractor       r-     is not, E         is required to sign this document and return                                   copies to the issuing office.
NSN 7540-01-152-8070 PREVIOUS EDITION NOT USABLE fEMPLATE VOM810.V" COMP19TE STANDARD FORM 30 (REV. 10-83)Prescribed by GSA -FAR (48 CFR) 53.243 Record Of Copiers Covered Under NRC-DR-10-07-607 R oom Ta#KMA ID ;~~{~Copier In0O6 Number g#___ Manuf. Model serial #WareHouse L05817 K-MINOLTA
: 14. DESCRIPTION OF AMENDMENT/MODIFICATION                   (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
_BIZHUB 420 142G]00273 EBB-02E02 L05249 87023885 'K-MINOLTA  
The purpose of this modification is to 1) provide incremental funding and 2) update the list                                                                                             of copiers under this GSA delivery order. First, incremental funding in the amount of $187,500.00 will be added to this contract, increasing the NRC obligation from $439,665.28 to $627,165.28. Additionally, the list                                                                           of copiers covered under this contract will be updated in accordance with attachment 1.
!BIZHUB 750 157AJ00164
Obligation: 627,165.28 Ceiling: $783,326.40 Period of Performance: October 1, 2007-September 30,                                                     2012 Except as specified herein,                             all other terms,                   conditions and pricing remain unchanged and in full force and effect.
------------
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in fullforce and effect.
I-----------------
15A. NAME AND TITLE OF SIGNER               (Type or print)                                                             16A.NAMEAND TITLE OF CONTRACTING OFFICER                     (Type or print)
0 ----------------------------------------------------------
Matthew J. Bucher Contracting Officer 15B.CONTRACTOR/OFFEROR                                                                     5.CeDATE SIGNED           lBS(S.UgnatuD---T               ý"ICý     'OFAM                                    16C. DATESIGNED (Signature of person authorized tosign)                                                                                     (Signatu-~~
*1 EBB-01B14 L05250 88024695 'K MINOLTA 1BIZHUB C550 lA003011000047 GW-05A19 L05809 88024704 'K-MINOLTA IBIZHUB 420 142G]00335
NSN 7540-01-152-8070                                                                                                                                                                     STANDARD FORM 30 (REV. 10-83)
------------  
PREVIOUS EDITION NOT USABLE                                                                                                                                                              Prescribed by GSA - FAR (48 CFR) 53.243
---------------------  
                                                                                            .V"          COMP19TE fEMPLATE VOM810
----------------------------
 
-------------------------------
Record Of Copiers Covered Under NRC-DR-10-07-607 R oom                     Ta#KMA                         ID         ;~~{~Copier                                                               In0O6 Number                             g#___                                         Manuf.                                       Model                                     serial #
GW-05E12 L05265 88024703 :K-MINOLTA  
WareHouse                     L05817                                       K-MINOLTA                         _BIZHUB 420                                     142G]00273 EBB-02E02                     L05249             87023885               'K-MINOLTA                             !BIZHUB 750                                     157AJ00164
!BIZHUB 750 157AJ00187 S---------------------------------------------T-------------------------------
                                                          ------------   I-----------------*1 0----------------------------------------------------------
TWB-05C32 L05253 ** :K-MINOLTA IBIZHUB 750 :57AJ00166 r -----------------------  
EBB-01B14                     L05250             88024695               'K MINOLTA                             1BIZHUB C550                                   lA003011000047 GW-05A19                       L05809             88024704               'K-MINOLTA                             IBIZHUB 420                                     142G]00335
------------------------------------------------  
                                                    ------------                -
-------------------------------
                                                                              --------------------- --------------------------- -------------------------------
TWB-05D27 L05811 88022067 K-MINOLTA IBIZHUB 420 142GJ00309 r -----------------------------------------------------------------------------
GW-05E12                       L05265             88024703               :K-MINOLTA                             !BIZHUB 750                                   157AJ00187 S---------------------------------------------T-------------------------------
TWB-O1BIO
TWB-05C32                     L05253             **                     :K-MINOLTA                             IBIZHUB 750                                     :57AJ00166 r -----------------------     ------------------------------------------------                     -------------------------------
* L05261 87023660 1K-MINOLTA IBIZHUB 750 157AJ00220
TWB-05D27                 r L05811             88022067                 K-MINOLTA                           IBIZHUB 420
'r-- ----------------  
                                        -----------------------------------------------------------------------------
--------------------
142GJ00309 TWB-O1BIO
r ------------------------------
* L05261               87023660               1K-MINOLTA                             IBIZHUB 750                                   157AJ00220
018F08 (KS) __ L05813 87023137 1K-MINOLTA
                          'r-- -         ---------------                                             --------------------                         ------------------------------
!BIZHUB C550 !AOOJ011000051 r -----------------------------------
r
4------1----------------r-----
__ L05813 87023137 018F08 (KS) r -----------------------------------1K-MINOLTA                                        !BIZHUB C550 4------1----------------r-----                 !AOOJ011000051 T-------------------------------
T-------------------------------
016C02                 , L05256               87023311               1K-MINOLTA                             lBIZHUB 920                                   :57GJ00044
016C02 , L05256 87023311 1K-MINOLTA lBIZHUB 920 :57GJ00044
      --- ----------------------- --------------                                                                 4------------I-------------+----------------I------------------
--- -----------------------  
016C02                 1 L05807 87023301                               1K-MINOLTA                             !BIZHUB 920                                   157GJ00026
--------------
      ---       -------------------------------------                                                           I-------------------------*----------------+------------------
4------------I-------------+----------------I------------------
016D05                     L05246 87023889                           :K-MINOLTA                             :BIZHUB 750                                   157AJ00211
016C02 1 L05807 87023301 1K-MINOLTA  
                          ..........     ........     .......               ------------------ -----------------------.--------- -------------------------------
!BIZHUB 920 157GJ00026
016G04                 1 L05858 87032207                               :K-MINOLTA                             :BIZHUB C550                                   :A00J011000463 SI-                                 -----------------------------------------------------
--- -------------------------------------
015G01                 1 L05258               87023671               1K-MINOLTA                             1BIZHUB 750                                   157AJ00181 S------                                                                               f------------------------------------------------------------
I-------------------------*----------------+------------------
015F01                 1 L05263               87023665               WK-MINOLTA                             !BIZHUB 750                                   157AJ00232
016D05 L05246 87023889 :K-MINOLTA
      ---       ------------------------------------------                                                       f-----------F-------------*---                 +-------------I------------------
:BIZHUB 750 157AJ00211
013F5l                     L05247             8702388                 :K-MINOLTA                             !BIZHUB 750                                   :57AJ00221
..........  
                                      *l."--------                             --------------                   f-----------F-------------t---                 f-------------I------------------
........ ....... ------------------  
04D15                                         87023297 !K-MINOLTA                                           IBIZHUB 750                                   157AJ00169
---- -------------------.  
      --- ------ 1L05257        -------------------------------                                                 f-----------F-------------t---                 t-------------I------------------
---------  
03E11                   1 L05248 88024690                               1K-MINOLTA                             IBIZHUB 750                                   :57AJ00174
-------------------------------
      ---- -------         L----------                                                 6------------           I---------------------------                   I-------------A------------------
016G04 1 L05858 87032207 :K-MINOLTA
020             L510 804706 *:K-MINOLTA                                                         !BIZHUB 420                                   :42G]00422 02G15                 1 L05267 need ID                               1K-MINOLTA .BIZHUB                                         420                       142GJ00283
:BIZHUB C550 :A00J011000463 SI- -----------------------------------------------------
                                    --------
015G01 1 L05258 87023671 1K-MINOLTA 1BIZHUB 750 157AJ00181 S------ f------------------------------------------------------------
4----------------                                                       ----------------
015F01 1 L05263 87023665 WK-MINOLTA  
4---                               ------------- 4------------------
!BIZHUB 750 157AJ00232
OPlB37(Mailrm)             i L05816 88024698                               1K-MINOLTA                           !BIZHUB 420                                   i42GJ00286
--- ------------------------------------------
          -----------       -------------                                     --------                         +--- ------------------                         f-------------*------------------
f-----------F-------------*---  
Op     _B36.DPC)-         : L05266 87023670                               IK-MINOLTA.                           jBIZHUB 420                                     542GJ00379
+-------------I------------------
                                                                                                              -------------------------
013F5l L05247 8702388 :K-MINOLTA  
                                                                                      -------------------------------                                             ---         -------
!BIZHUB 750 :57AJ00221
T09A23                 1 L05268 87023293                               :K-MINOLTA                             1BIZHUB 920                                   :57GJ00039
*l."--------  
              --------------             ------ ---------------                                                                                                 4-------------4------------------
--------------
87023895                                                       :BIZHUB 750                                 *57AJ00178 T09C22
f-----------F-------------t---
---------               - *i L05251
f-------------I------------------
                                *                 -------- !K-MINOLTA        --- -- - -- -                         - - -- - -- - -- - --- -- - -- - -- - -- - -- -
04D15 1L05257 87023297 !K-MINOLTA IBIZHUB 750 157AJ00169
T08A21                     L05808 87023292                             K.MINOLTA                             BIZHUB 920                               1:57GJ00027 T07B03                 ! L05252               87023896               "K-MINOLTA                             !BIZHUB 750                                   .57AJ00173 T06A4 3                     L05264             87023703                 'K-MINOLTA                           !BIZHUB 750                                   :57AJ00230 T05D24                     L05254             87023093               ,K-MINOLTA                             IBIZHUB 750                                   157AJ00224
--- ------ -------------------------------
                                                        ------------------------------------------------------ 4-------------------&---------------
f-----------F-------------t---
T04B07                     L05262             87024678               'K-MINOLTA                             IBIZHUB 750                                   :57AJ00179
t-------------I------------------
                                                                              ------------+----------------I          ----------------------------
03E11 1 L05248 88024690 1K-MINOLTA IBIZHUB 750 :57AJ00174
T04B31 ....                 LL_5_81_42__ 87023677                     !K-MINOLTA                             !BIZHUB C550                                   !A42J011000081 T04B31                                         88024679
---- ------- L----------
                                                  .         .L05260         K-MINOLTA --------                                     75 --------..
6------------
B..................0                          57AJ00216
I---------------------------
---T04CIO ------ !L05255 87023676                                         'K   MINOLTA                         :BIZHUB             750
I-------------A------------------
                                                                                                                      ------------------------                   157A]00223 I-------------+--------------
020 L510 804706 *:K-MINOLTA  
                                                                              ------------
!BIZHUB 420 :42G]00422 02G15 1 L05267 need ID 1K-MINOLTA .BIZHUB 420 142GJ00283
T02B09                 !I 5259--N 87023673                             '*K MINOLTA                           '1BIZHiUB 750                                 '57AJ00204 T02F19                1L05812 87023289                                !K    MINOLTA                        4--------------
--------4----------------  
                                                                            ------------------------------------------------------------
----------------
                                                                                                                  !BIZHUB 420                                   142GJ00401 C:\Documents and Settings\mxbll\Local Settings\Temporary Internet 12/22/2010, 7:59 AM                 Files\Content.OutlookkJVBILUDP\Copier ID Attachment for 10-07-607 Nov 2010.xlsx}}
4--- -------------
4------------------
OPlB37(Mailrm) i L05816 88024698 1K-MINOLTA  
!BIZHUB 420 i42GJ00286
-----------  
-------------  
-------- ------------------
+--- f-------------*------------------
Op _B36.DPC)-
: L05266 87023670 IK-MINOLTA.
jBIZHUB 420 542GJ00379
-------------------------------  
-------------------------  
--- -------T09A23 1 L05268 87023293 :K-MINOLTA 1BIZHUB 920 :57GJ00039
--------------  
------ ---------------
4-------------4------------------
T09C22 i L05251 87023895 !K-MINOLTA
:BIZHUB 750 *57AJ00178
-- ------- -* * -- -- -- -- -- -------------------- ----------------T08A21 L05808 87023292 K. MINOLTA BIZHUB 920 1:57GJ00027 T07B03 ! L05252 87023896 "K-MINOLTA  
!BIZHUB 750 .57AJ00173 T06A4 3 L05264 87023703 'K-MINOLTA  
!BIZHUB 750 :57AJ00230 T05D24 L05254 87023093 ,K-MINOLTA IBIZHUB 750 1 57AJ00224------------------------------------------------------
4-------------------&---------------
T04B07 L05262 87024678 'K-MINOLTA IBIZHUB 750 :57AJ00179
------------  
----------------------------
+----------------I T04B31 ....LL_5_81_42__
87023677 !K-MINOLTA  
!BIZHUB C550 !A42J011000081 T04B31 ..L05260 88024679 K- MINOLTA --------75 B..................0
--------..
57AJ00216---T04CIO ------!L05255 87023676 'K MINOLTA :BIZHUB 750 157A]00223
------------  
------------------------
I-------------+--------------
T02B09 !I 5259--N 87023673 '*K MINOLTA '1BIZHiUB 750 '57AJ00204
------------------------------------------------------------
4--------------
T02F19 1L05812 87023289 !K MINOLTA !BIZHUB 420 142GJ00401 C:\Documents and Settings\mxbll\Local Settings\Temporary Internet 12/22/2010, 7:59 AM Files\Content.OutlookkJVBILUDP\Copier ID Attachment for 10-07-607 Nov 2010.xlsx}}

Revision as of 05:10, 13 November 2019

Modification No. 005 to Contract No. DR-10-07-607
ML103610154
Person / Time
Issue date: 12/22/2010
From: Bucher M
NRC/ADM/DC
To:
References
Job Code D2384, NRC-DR-10-07-607
Download: ML103610154 (2)


Text

.,,,.-,.=,--BPA NO. I CONTRACT ID CODE PAGE OF AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5 PROJECT NO.(If applicable)

M005 See Block 16c ADM-11-113 6 ISSUED BY CODE 3100 7. ADMINISTERED BY (If other than Item 6) CODE 13100 U.S. Nuclear Regulatory Commission U.S. Nuclear Regulatory Commission Div. of Contracts Div. of Contracts Attn: Matthew J. Bucher Mail Stop: TWB-01-BlOM Mail Stop: TWB-01-BlOM Washington, DC 20555 Washington, DC 20555

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (x( 9A. AMENDMENT OF SOLICITATION NO KONICA MINOLTA BUSINESS SOLUTIONS USA INC 9SB.DATED (SEE ITEM 11) 2100 WASHINGTON BLVD STE 100 I1A. MODIFICATION OF CONTRACT/ORDER NO.

GS25FOO30M DR-10-07-607 ARLINGTON VA 222045714 10B. DATED (SEE ITEM 13)

CODE 626578041 FACILITYCODE 333298 X 06-08-2008

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS F7 The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, r7 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 AC-KNOWLEDGMENT 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. ACCOUNTINGANDAPPROPRIATIONDATA (Ifrequired) B&R #:2011-40-51-F-191 JC:D2384 B.O.C:2570 APPN:31X0200.110 FSS Number: 110912 Obhl~iates Funds, S187.500.00
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACTiORDER NO. AS DESCRIBED IN ITEM 14.

(X) A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE INTHE CONTRACT ORDER NO. IN ITEMI1A.

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 authorty) Mutual Agreement of Both Parties E. IMPORTANT: Contractor r- is not, E 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 1) provide incremental funding and 2) update the list of copiers under this GSA delivery order. First, incremental funding in the amount of $187,500.00 will be added to this contract, increasing the NRC obligation from $439,665.28 to $627,165.28. Additionally, the list of copiers covered under this contract will be updated in accordance with attachment 1.

Obligation: 627,165.28 Ceiling: $783,326.40 Period of Performance: October 1, 2007-September 30, 2012 Except as specified herein, all other terms, conditions and pricing remain unchanged and in full force and effect.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in fullforce and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A.NAMEAND TITLE OF CONTRACTING OFFICER (Type or print)

Matthew J. Bucher Contracting Officer 15B.CONTRACTOR/OFFEROR 5.CeDATE SIGNED lBS(S.UgnatuD---T ý"ICý 'OFAM 16C. DATESIGNED (Signature of person authorized tosign) (Signatu-~~

NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.243

.V" COMP19TE fEMPLATE VOM810

Record Of Copiers Covered Under NRC-DR-10-07-607 R oom Ta#KMA ID  ;~~{~Copier In0O6 Number g#___ Manuf. Model serial #

WareHouse L05817 K-MINOLTA _BIZHUB 420 142G]00273 EBB-02E02 L05249 87023885 'K-MINOLTA !BIZHUB 750 157AJ00164


I-----------------*1 0----------------------------------------------------------

EBB-01B14 L05250 88024695 'K MINOLTA 1BIZHUB C550 lA003011000047 GW-05A19 L05809 88024704 'K-MINOLTA IBIZHUB 420 142G]00335


-


--------------------------- -------------------------------

GW-05E12 L05265 88024703 :K-MINOLTA !BIZHUB 750 157AJ00187 S---------------------------------------------T-------------------------------

TWB-05C32 L05253 ** :K-MINOLTA IBIZHUB 750 :57AJ00166 r ----------------------- ------------------------------------------------ -------------------------------

TWB-05D27 r L05811 88022067 K-MINOLTA IBIZHUB 420


142GJ00309 TWB-O1BIO

'r-- - --------------- -------------------- ------------------------------

r

__ L05813 87023137 018F08 (KS) r -----------------------------------1K-MINOLTA !BIZHUB C550 4------1----------------r----- !AOOJ011000051 T-------------------------------

016C02 , L05256 87023311 1K-MINOLTA lBIZHUB 920 :57GJ00044

--- ----------------------- -------------- 4------------I-------------+----------------I------------------

016C02 1 L05807 87023301 1K-MINOLTA !BIZHUB 920 157GJ00026

--- ------------------------------------- I-------------------------*----------------+------------------

016D05 L05246 87023889 :K-MINOLTA :BIZHUB 750 157AJ00211

.......... ........ ....... ------------------ -----------------------.--------- -------------------------------

016G04 1 L05858 87032207 :K-MINOLTA :BIZHUB C550 :A00J011000463 SI- -----------------------------------------------------

015G01 1 L05258 87023671 1K-MINOLTA 1BIZHUB 750 157AJ00181 S------ f------------------------------------------------------------

015F01 1 L05263 87023665 WK-MINOLTA !BIZHUB 750 157AJ00232

--- ------------------------------------------ f-----------F-------------*--- +-------------I------------------

013F5l L05247 8702388 :K-MINOLTA !BIZHUB 750 :57AJ00221

  • l."-------- -------------- f-----------F-------------t--- f-------------I------------------

04D15 87023297 !K-MINOLTA IBIZHUB 750 157AJ00169

--- ------ 1L05257 ------------------------------- f-----------F-------------t--- t-------------I------------------

03E11 1 L05248 88024690 1K-MINOLTA IBIZHUB 750 :57AJ00174


------- L---------- 6------------ I--------------------------- I-------------A------------------

020 L510 804706 *:K-MINOLTA !BIZHUB 420 :42G]00422 02G15 1 L05267 need ID 1K-MINOLTA .BIZHUB 420 142GJ00283


4---------------- ----------------

4--- ------------- 4------------------

OPlB37(Mailrm) i L05816 88024698 1K-MINOLTA !BIZHUB 420 i42GJ00286


------------- -------- +--- ------------------ f-------------*------------------

Op _B36.DPC)-  : L05266 87023670 IK-MINOLTA. jBIZHUB 420 542GJ00379



--- -------

T09A23 1 L05268 87023293 :K-MINOLTA 1BIZHUB 920 :57GJ00039


------ --------------- 4-------------4------------------

87023895 :BIZHUB 750 *57AJ00178 T09C22


- *i L05251

  • -------- !K-MINOLTA --- -- - -- - - - -- - -- - -- - --- -- - -- - -- - -- - -- -

T08A21 L05808 87023292 K.MINOLTA BIZHUB 920 1:57GJ00027 T07B03  ! L05252 87023896 "K-MINOLTA !BIZHUB 750 .57AJ00173 T06A4 3 L05264 87023703 'K-MINOLTA !BIZHUB 750 :57AJ00230 T05D24 L05254 87023093 ,K-MINOLTA IBIZHUB 750 157AJ00224


4-------------------&---------------

T04B07 L05262 87024678 'K-MINOLTA IBIZHUB 750 :57AJ00179


+----------------I ----------------------------

T04B31 .... LL_5_81_42__ 87023677 !K-MINOLTA !BIZHUB C550 !A42J011000081 T04B31 88024679

. .L05260 K-MINOLTA -------- 75 --------..

B..................0 57AJ00216

---T04CIO ------ !L05255 87023676 'K MINOLTA :BIZHUB 750


157A]00223 I-------------+--------------


T02B09 !I 5259--N 87023673 '*K MINOLTA '1BIZHiUB 750 '57AJ00204 T02F19 1L05812 87023289 !K MINOLTA 4--------------


!BIZHUB 420 142GJ00401 C:\Documents and Settings\mxbll\Local Settings\Temporary Internet 12/22/2010, 7:59 AM Files\Content.OutlookkJVBILUDP\Copier ID Attachment for 10-07-607 Nov 2010.xlsx