2018-138 DSS - NCDSS training contract amendment

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Contract Number Q0006204 An nndment Neu nth inHuenc�e�� of 16 1. Identify the type of covered Federal action far which lobbying activity Is andd // r has n secure 0 outcome of covered Federal action. 2. Identify Ne status aftho covered Federal action. 3. Identify the appropriate clossibcation of this rerun. If this is a follow -up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity fw this covered Federal action. 4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or sub. award recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards Include but are not limited to subcontracts, subgrems and contract awards under grams. 5. If the organization riling the mpon in Item 4 checks "Subawardee ", than enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional Distric4 if known. 6. Enter the name ordw Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department ofTmnspartation, United Stales Coast Guard. 7. Enter the Federal program name or description for the Covered Federal action (Item I). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments. S. Enter the most appropriate Federal Identifying number available for the Federal action identified in Item 1 (e.g., Request for Proposal (RFP) number, Invitmton for Bid (IFB) number, grant announcement number, the contract grant, or loan award number, the application/proposal control number assigned by the Federal agency). Include Prefixes, e.g., "RFP- DE40 4)01:' 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in Item 4 or 5. lo. (a) Enter the full name, address, city, state and zip Code of the lobbying entity engaged by the reporting entity identified in Item 4 to influence the covered Federal action. (b) Enter the full names of the individual(s) performing services, and include full address if different from 10(a). Enter Last Name, First Name and Middle Initial (Mp. 11. Enter the amount of comraboution paid or reasonably expected to be Paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (acmap or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be MAC. 12. Check the appropriate boxes. Check all bolts that apply. Ifpayment is mode through an in -kind contribution, specify the nature and value ortbe in -kind payment. 13. Check the appropriate boxes. Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual Contact with Federal officials. Identify the Federal officials) or employce(s) Connected or the officer(s), employee(s), or Member(s) ofCongrass that were contacted. 15. Check whether or net a SF -LLL -A Continuation Sheets) is attached. 16. The certifying official shall sign and date the form, print hislher name, title, and telephone number.