Orange County NC Website
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1• CONTRACT [D CODE PAGE OF PAGES <br /> 1 2 <br /> 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. N0. 5. PROJECT NO. <br /> 10 SEE BLOCK 16C 9/5010/15020145 (If applicable) <br /> 6. ISSUED BY CODE LNL 7. ADMINISTERED BY CODE <br /> EQUAL EMPLOYMENT OPPORTUNITY COMM. (If other than Item 6) <br /> PROCUREMENT MANAGEMENT DIVISION EQUAL EMPLOYMENT OPPORTUNITY COMM. <br /> 1801 L STREET, N.W. ROOM 2505 CHARLOTTE DISTRICT OFFICE <br /> WASHINGTON, D.C. 2007 129 WEST TRADE STREET, SUITE 400 <br /> CHARLOTTE, NORTH CAROLINA 28202 <br /> 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP code) 9A. AMENDMENT OF SOLICITATION NO. <br /> ORANGE COUNTY HUMAN RELATIONS COMMISSION <br /> 110 SOUTH CHURCHTON STREET 98. DATED (SEE ITEM 11) <br /> HILLSBOROUGH, NC 27278 <br /> OUPuCATE ORGIM, <br /> 10A. MODIFICATION OF CONTRACT/ORDER N0. <br /> Y " 7/5010/0145 <br /> 106. DATED (SEE ITEM 13) <br /> CODE I FACILITY CODE 04/07/97 <br /> 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS <br /> ❑ The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of <br /> Offers ❑ is extended, ❑ is not extended. Offerors must acknowledge receipt of this amendment prior to the hour and <br /> date specified in the solicitation or as amended by one of the following methods: (a) By completing Items 8 and 15, <br /> and returning copies of the amendment; (b$ By acknowledging receipt of this amendment on each copy of the <br /> offer submitteT or-(c) By separate letter or telegram which includes a reference to the solicitation and amendment <br /> numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE <br /> HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change <br /> an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes <br /> reference 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 /> SEE PAGE 2 FOR ACCOUNTING AND APPROPRIATION DATA <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 <br /> THE CONTRACT ORDER NO. IN ITEM 10A. <br /> B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying <br /> office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). <br /> C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: <br /> D. OTHER (Specify type of modification and authority) <br /> X CLAUSE H.2 CONTRACT ADJUSTMENTS <br /> E. IMPORTANT: Contractor ® is not, ❑ is required to sign this document and return copies to the <br /> issuing office. <br /> 14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract <br /> subject matter where feasible.) <br /> The purpose of this modification is to decrease the number of Intake <br /> Services under Section B entitled, SUPPLIES OR SERVICES AND SERVICES <br /> PRICES/COSTS. <br /> Except provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore <br /> Chan ed as remains unchanged and in full force and effect. <br /> 15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print) <br /> LACHON N. LANGHAM <br /> CONTRACTING OFFICER <br /> 15¢� ,�ONTRAC`TTO,R/OF EROR 15C. DATE SIGNED 168. NI ED SATES 0 ;AMERI A 16C. DATE SIGNED <br /> �A BY F �y TI <br /> (Si nature of Pe rson authorized to sign)l Mfgriat0ri sign) of ontr ctf 0 is r) <br /> NSN 7540-01-152-8070 30-105 ST FORM 30 (REV. 10-83) <br /> PREVIOUS EDITION UNUSABLE Prescribed by GSA <br /> FAR (48 CFR) 53.243 <br />