Okaloosa County BOCC — January 19, 2016 — Contract Mod 7

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT ; CONTRjCT D CoPE P‘:GE OF PAGES 3 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE |4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO.(If applicable) P00007 07-Jan-2016 SEE SCHEDULE 6. ISSUED BY CODE FA2823 7. ADMINISTERED BY (If other than item 6) CODE I FA2823 AFTC/PZIOC EGLIN - GAGE BERGMAN AFTC/PZIO EGLIN - FA2823 308 WEST D AVE, BLDG 260, STE 130 308 WEST D AVENUE, SUITE 130 (BLDG 260) EGLIN AFB FL 32542-5418 EGLIN AFB FL 32542-5418 8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) 9A. AMENDMENT OF SOLICITATION NO. OKALOOSA, COUNTY OF DBA: CONTRACTS & GRANTS 1804 LEWIS TURNER BLVD STE 206 9B. DATED (SEE ITEM 11) FORT WALTON BEACH FL 32547-1285 X | LOA. MOD. OF CONTRACT/ORDER NO. FA2823-11-C-0030 10B. DATED (SEE ITEM 13) CODE _ 3H5D4 [FACILITY CODE X'| 01-Oct-2011 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS DThe above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer D is extended, |_| is not extended. Offer 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 ACKNOWLEDGMENT 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) 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. 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 CONTRACT ORDER NO. IN ITEM 10A. 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: Mutual Agreement of Both Parties D. OTHER (Specify type of modification and authority) x E. IMPORTANT: Contractor D is not, 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.) Modification Control Number: ~ bergmang16184 See Summary of Changes 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) Charles K. Windes, Jr., Chairman KRISTINE E. WRIGHT / CONTRACTING OFFICER Board of County Commissioners TEL: 850-882-9248 EMAIL: kristine.wright 2@us.af.mil 15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. ITED STATES OF AMERICA 16C. DATE SIGNED 12-Jan-2016 BY 12-Jan-2016 (Signature of person authorized to sign) (Signature of Contracting Officer) EXCEPTION TO SF 30 30-105-04 ) STANDARD FORM 30 (Rev. 10-83) APPROVED BY OIRM 11-84 Prescribed by GSA FAR (48 CFR) 53.243 FA2823-11-C-0030 P00007 Page 2 of 3 SECTION SF 30 BLOCK 14 CONTINUATION PAGE SUMMARY OF CHANGES SECTION SF 30 - BLOCK 14 CONTINUATION PAGE The following have been added by full text: P00007 1. The purpose of this modification is to extend the delivery date of CLIN 0005 and