<p> For information only. Tailor to your requirement and agency policy</p><p>AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES 1 2 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (IF APPLICABLE) [Insert Number] SEE BLOCK 16C 6. Issued By Code [Insert Office Code] 7. ADMINISTERED BY (If other than Item 6) Code [Insert Applicable Information]</p><p>8. Name and Address of Contractor (No., street, county, State and ZIP Code (x) 9A. AMENDMENT OF SOLICITATION NO.</p><p>[Insert Applicable Information] 9B. DATED (SEE ITEM 11)</p><p>10A. MODIFICATION OF CONTRACT/ORDER NO. X [Insert Number] 10B. DATED (SEE ITEM 11)</p><p>CODE: [Insert DUNS Number] FACILITY CODE : [Insert CAGE Code] [Insert Date of 10A Award] 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 is extended is not extended. Offers Offer's 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 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. ACCOUNTING AND APPROPRIATION DATA (If required) NA 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS 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. </p><p>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 :</p><p>C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF : X FAR 4.804-5 PROCEDURES FOR CLOSING OUT CONTRACT FILES D. OTHER (Specify type of modification and authority)</p><p>E. IMPORTANT: Contractor is not, X is required to sign this document and return 1 copy to the issuing office. 14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)</p><p>This modification is hereby issued to administratively close out Task Order [Insert TO Number], which expired [Insert Physical Completion Date]. [Insert Name of Contractor] (hereinafter referred to as the “Contractor”) hereby provides a Release of Claims on Task Order [Insert TO Number].</p><p>SEE PAGE 2</p><p>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)</p><p>[Insert Name of OCO] CONTRACTING OFFICER 15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED</p><p>______BY ______(Signature of person authorized to sign) (Signature of Contracting Officer) NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-83) PREVIOUS EDITION UNUSABLE Prescribed by GSA, FAR (48 CFR) 53.243</p><p>1 For information only. Tailor to your requirement and agency policy</p><p>Task Order [Insert TO Number] Modification [Insert Mod Number] Page 2 of 2</p><p>Contractor represents and warrants that it has completed all performance obligations required under the Task Order; including but not limited to providing the Government with all required deliverables, reports and any other information that may have been required under the Task Order.</p><p>In consideration for Contractor’s performance under the Task Order, Contractor acknowledges and agrees that it has received valuable consideration totaling [Insert Total Dollar Value] for discharging its performance obligations under the Task Order. Contractor hereby agrees to release and discharge the Government from any and all further performance obligations under the Task Order, whether such performance obligations are currently known or unknown, and that the valuable consideration actually received by the Contractor from the Government constitutes full and complete accord and satisfaction of all performance obligations that the Government may have under the Task Order.</p><p>The Government specifically does not waive, or release from liability, the Contractor (or any of the Contractor’s subcontractors, officers, employees or agents) for any rights that the Government may have arising out of the Task Order, including, but not limited to any rights which by their nature would survive expiration/termination of the Task Order; such as post-acceptance warranty claims, ability to audit the Contractor’s books and records and then seek to collect from the Contractor any amounts overbilled, or issues relating to fraud, or any.</p><p>This bilateral modification constitutes the entire agreement between the parties with respect to the closeout of the Task Order, and supersedes and replaces all prior or contemporaneous understandings or agreements, written or oral, regarding such subject matter. No amendment or modification hereto shall be binding unless in writing and signed by the parties.</p><p>2</p>
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