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I.CONTRACT ID CODE PAGE OF PAGES <br /> AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT <br /> 1 I 3 <br /> 2.AMENDMENT/MODIFICATION NO. 3.EFFECTIVE DATE 4.REQUISMON/P URCHASE REQ.NO. 5.PROJECTNO.(Ifapplicable) <br /> F00014 28-Jun-2021 <br /> 6.ISSUED BY CODE N44255 7.ADMINISTERED BY(If other than itcm6) CODE <br /> NAVFAC NORTHWEST <br /> 1101 TAUTOG CIRCLE See Item 6 <br /> SILVERDALE WA 9831S-1101 <br /> 8.NAME AND ADDRESS OF CONTRACTOR (No.,Street,County,State and Zip Code) 9A.AMENDMENT OF SOLICITATION NO. <br /> EVERETT,CITY OF <br /> PUBLIC WORKS DEPT <br /> MADEWNEYUN 9B.DATED(SEE ITEM 11) <br /> 3200 CEDAR ST <br /> EVERETTWA 98201-4516 lOA MOD.OF CONTRACT/ORDER NO. <br /> X N44255-85-C-6909 <br /> IOB.DATED (SEE ITEM 13) <br /> CODE OKUL5 'FACILITY CODE X 09-Jul-1990 <br /> 11.THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS <br /> Thc above numbered solicitation is amended as set forth ha lteml4.The hour and date specified for receipt of011er ❑is extended, — is not extended. 3: <br /> Offer test acknowledge receipt ofthis amendment prior to the hour and date specified in the solicitation or as attended by one ofthe fallowing methods: <br /> (a)By convicting Items 8 and 15,and resuming copies ofthe amendment;(b)By acknowledging receipt ofthis amendment on each copy ofthe oar submitted; <br /> or(c)Byseparateletterortelegramwhichincludesareferencetothesolicitationandamendmentnurt ers.FAILURE OFYOURACKNOWLEDGMENTTOBE <br /> RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN <br /> REJECTION OF YOUR OFFER.Ifby virtue ofthis amendment you desire to change an oar already submitted,such change may be mode by telegramor letter, <br /> provided each telegram or letter makes reli rence to the solicitation and this amendment,and is received prior to the opening hour and date specified. <br /> 12.ACCOUNTING AND APPROPRIATION DATA(If required) <br /> 13.THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS. <br /> IT MODIFIES THE CONTRACT/ORDER NO.AS DESCRIBED IN ITEM 14. <br /> A.THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority)THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE <br /> CONTRACT ORDER NO.IN ITEM IOA. <br /> x B.THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES(such as changes in paying <br /> office,appropriation date,etc.)SET FORTH IN ITEM 14,PURSUANT TO THE AUTHORITY OF FAR43.103(B), <br /> C.THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: <br /> D.OTHER(Specify type of modification and authority) <br /> E.IMPORTANT: Contractor Q is not, is required to sign this document and return copies to the issuing office. 3. <br /> 14.DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings,including solicitation/contract subject matter <br /> where feasible.) <br /> Modification Control Number: carterm21695 <br /> Prepared by:carterm <br /> Reason Code:ADI N <br /> • <br /> Update Contract Close Date in eContracts <br /> Except as provided herein,all terns and conditions ofthe document referenced in Item 9A or 10A,as heretofore changed,remains unchanged and in full three and effect. <br /> 15A.NAME AND TITLE OF SIGNER(Type or print) 16A.NAME AND TITLE OF CONTRACTING OFFICER(Type or print) <br /> CHARLES D.BENSON/CONTRACTING OFFICER <br /> T0. 360.396-0735 EMAIL chudtberem(nav/.nll <br /> 15B.CONTRACTOR/OFFEROR 15C.DATE SIGNED 16B.UNITED STATES OF AMERICA I6C.DATE SIGNED <br /> By 6:24.,,r-Z—OLV,t0 28-Jun-2021 <br /> (Signature of person authorized to sign) (Signature of Contracting Officer) <br /> EXCEPTION TO SF 30 30-105-04 STANDARD FORM 30(Rev.10-83) <br /> APPROVED BY OIRM 11-84 Prescribed by GSA <br /> FAR(48 CFR)53.243 <br />