Form SF-30 Download Fillable PDF or Fill Online Amendment of Solicitation / Modification of Contract (2022)

Form SF-30 Download Fillable PDF or Fill Online Amendment of Solicitation / Modification of Contract (1)

1. CONTRACT ID CODE

PAGE

OF

PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQUISITION NUMBER

5. PROJECT NUMBER (If applicable)

6. ISSUED BY

CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

(X)

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE

FACILITY CODE

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 Offers

is extended.

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 electronic communication 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 letter or electronic communication, provided each letter or electronic

communication 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 NUMBER 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

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office,

appropriation data, 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 authority)

E. IMPORTANT: Contractor

is not

is required to sign this document and return

copies to the issuing office.

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14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

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.

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

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

15C. DATE SIGNED

16B. UNITED STATES OF AMERICA

16C. DATE SIGNED

(Signature of person authorized to sign)

(Signature of Contracting Officer)

STANDARD FORM 30 (REV. 11/2016)

Previous edition unusable

Prescribed by GSA FAR (48 CFR) 53.243

1. CONTRACT ID CODE

PAGE

OF

PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

2. AMENDMENT/MODIFICATION NUMBER

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQUISITION NUMBER

5. PROJECT NUMBER (If applicable)

6. ISSUED BY

CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

(X)

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE

FACILITY CODE

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 Offers

is extended.

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 electronic communication 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 letter or electronic communication, provided each letter or electronic

communication 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)

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13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER 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

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office,

appropriation data, 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 authority)

E. IMPORTANT: Contractor

is not

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.)

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.

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

15A. NAME AND TITLE OF SIGNER (Type or print)

15B. CONTRACTOR/OFFEROR

15C. DATE SIGNED

16B. UNITED STATES OF AMERICA

16C. DATE SIGNED

(Signature of person authorized to sign)

(Signature of Contracting Officer)

STANDARD FORM 30 (REV. 11/2016)

Previous edition unusable

Prescribed by GSA FAR (48 CFR) 53.243

INSTRUCTIONS (Back Page):

Instructions for items other than those that are self-explanatory, are as follows:

(a)

Item 1 (Contract ID Code). Insert the contract type

(2) Accounting classification

identification code that appears in the title block of

Net decrease

$

the contract being modified.

NOTE: If there are changes to multiple accounting

(b)

Item 3 (Effective date).

classifications that cannot be placed in block 12,

insert an asterisk and the words "See continuation

(1)

For a solicitation amendment, change order,

sheet".

or administrative change, the effective date

(g)

Item 13. Check the appropriate box to indicate the

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shall be the issue date of the amendment,

type of modification. Insert in the corresponding

change order, or administrative change.

blank the authority under which the modification is

(2)

For a supplemental agreement, the effective

issued. Check whether or not contractor must sign

date shall be the date agreed to by the

this document. (See FAR 43.103.)

contracting parties.

(h)

Item 14 (Description of Amendment/Modification).

(3)

For a modification issued as an initial or

confirming notice of termination for the

(1)

Organize amendments or modifications under

convenience of the Government, the effective

the appropriate Uniform Contract Format (UCF)

date and the modification number of the

section headings from the applicable

confirming notice shall be the same as the

solicitation or contract. The UCF table of

effective date and modification number of the

contents, however, shall not be set forth in this

initial notice.

document.

(4)

For a modification converting a termination for

default to a termination for the convenience of

(2)

Indicate the impact of the modification on the

the Government, the effective date shall be the

overall total contract price by inserting one of

same as the effective date of the termination for

the following entries:

default.

(i) Total contract price increased by $

(5)

For a modification confirming the contracting

officer's determination of the amount due in

(ii) Total contract price decreased by $

settlement of a contract termination, the effective

date shall be the same as the effective date of

(iii) Total contract price unchanged.

the initial decision.

(3)

State reason for modification.

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(c)

Item 6 (Issued By). Insert the name and address of

the issuing office. If applicable, insert the

(4)

When removing, reinstating, or adding funds,

appropriate issuing office code in the code block.

identify the contract items and accounting

classifications.

(d)

Item 8 (Name and Address of Contractor). For

modifications to a contract or order, enter the

(5)

When the SF 30 is used to reflect a

contractor's name, address, and code as shown in

determination by the contracting officer of the

the original contract or order, unless changed by

amount due in settlement of a contract

this or a previous modification.

terminated for the convenience of the

Government, the entry in Item 14 of the

(e)

Items 9, (Amendment of Solicitation Number -

modification may be limited to --

Dated), and 10, (Modification of Contract/Order

Number - Dated). Check the appropriate box and in

(i) A reference to the letter determination; and

the corresponding blanks insert the number and

date of the original solicitation, contract, or order.

(ii) A statement of the net amount determined

to be due in settlement of the contract.

(f)

Item 12 (Accounting and Appropriation Data).

When appropriate, indicate the impact of the

(6)

Include subject matter or short title of

modification on each affected accounting

solicitation/contract where feasible.

classification by inserting one of the following

entries:

(i)

Item 16B. The contracting officer's signature is not

required on solicitation amendments. The

(1) Accounting classification

contracting officer's signature is normally affixed last

Net increase

$

on supplemental agreements.

STANDARD FORM 30 (REV. 11/2016) BACK

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