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• 1.CONTRACT ID CODE PAGE OF PAGES APASAIMINCIMPOINNIIM .. IMODI FICATION OF CONTRACT UTILITY SERVICE 1 1 8 2.1.111111111MMWMODIFICATION NO. 3.EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ.NO. 5.PROJECT NO.(If applicable) N62474-85-C-6909-P00001 24 JUL 1992 6. SSUED BY 0221CM 7.ADMINISTERED BY (If other than Item 6) Commander CODE CODE Western Division Naval Facilities Engineering Command 900 Commodore Drive San Bruno, CA 94066-2402 8.NAME AND ADDRESS OF CONTRACTOR (No.,street,county,State and ZIP Code) (el) 9A. - - -- - - FOR: WATER & SEWER SERVICE CITY OF EVERETT AT: NAVSTA PUGET SOUND, Department of Public Works 9B 3200 Cedar Street EVERETT, WA Everett, WA 98201 10A.MODIFICATION OF CONTRACT}61n0814 NO. N62474-85-C-6909 361. DUTE 16EITEM 13) CODE FACILITY CODE 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS I The above numbered solicitation is amended as set forth in Item 14.The hour and date specified for receipt of Offers u is extended, I I is not ex- tended. 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 B and 15,and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or lc) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAI LURE OF YOUR ACKNOWLEDG- MENT 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) FUNDS WILL BE CITED WHEN INVOICES ARE CERTIFIED FOR PAYMFNT 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS* B11E! IT MODIFIES THE CONTRACT,Of16EFisNO. AS DESCRIBED IN ITEM 14. A.THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority)THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CON- 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: X 10 U.S.C. 2304(c) ( 1 ) D.OTHER (Specify type of modification and authority)au E. IMPORTANT: Contractor I I is not, ID is required to sign this document and returnOR IG I NA copies to the issuing office. 14. DESCRIPTION OF . ,MODIFICATION (Organized by IUCFsection headings,including solicitation/contract subject matter where feasible.) a. Modification of the basic contract is deemed necessary in order to purchase water and sewer capacity in the City of Everett's facilities and to provide for the payment of ongoing water and sewer service charges for the Naval Station, Puget Sound, Everett, WA. b. Estimated annual cost of water service: $ 288,622 c. Estimated annual cost of sewer service: $ 1, 111,930 (CONT'D ON PAGE 2) 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) D. J . McAULEY Ma v- Head, Service Contracts Branch 15B.CONTR R/O EROR) 15C.DATE SIGNED 16B.UNITE A S 0 RICA 16C.DATE SIGNED { to of au orized to ai y .�fIBY /-7Ju !7 J 2 /1 +0Signs re o Con ratting O NSN 7540-0 30-105 STA DARD FORM 30(REV. 10-83) PREVIOUS EDIT U Prescribed by GSA FAR (48 CFR) 53.243