AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
2. AMENDMENT MODIFICATION NO.

, 3. EFFECTIVE DATE0005
G. ISSUED BY
U.S. DEPARTMENT OF COMMERCE
14TH & CONSTITUTION AVE. NW
ACQUISITION SERVICES RM 6520
WASHINGTON DC 20230
Sanestra Whiting 202-482-7847 swhiting@doc.gov

4. REQUISITION/PURCHASE REO. NO.

7. ADMINISTERED BY (If other than item 6)

OOOSAI

I12, 5. PROJECT NO. (if applicable)

AA-NTI-WC-D-17 -00190

OCT 21 , 2016
CODEl Page of Pe~g es

1. ConlraciiD CodeCODESee Block 68. NAME AND ADDRESS OF CONTRACTOR (NO., Street, Country, Slate and ZIP Code)INTERNET CORPORATION FOR ASSIGNED NAMES AND NUMBERS
DUNS: 045511487
12025 WATERFRONT DRIVECage Code: 4A4S9SUITE 300
LOS ANGELES CA 90094-(x)9B. DATED (SEE ITEM 11)X

310-823-9358

I

CODE 00000428

9A. AMENDMENT OF SOLICITATION NO.

10A. MODIFICATION OF CONTRACT/ORDER NO.
SA1301-12-CN-0035
10B. DATED (SEE ITEM 13)

FACILITY CODE

OCT 01, 2012

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONSDThe above numbered solicitation is amended as set forth in item 14. The hour and date specified for receipt of offers D
is extended, Dis 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 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 OR OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF
YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided eachtelegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
Modification Amount: $0.00
12. ACCOUNTING AND APPROPRIATION DATA (If required)
Modification Obligated Amount: $0.00See Schedule
13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
Check OneA. 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 payingoffice, appropriation dale, 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

D. OTHER (Specify type of modification and authority)
FAR: 4 .804 Closeout Contract FileE. IMPORTANT: Contractor IX is not.

I

is required to sign this document and returncopies to the issuing office.

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

The purpose of this modification is to Close Out contract SA1301-12-CN-0035 in its entirety.
All other terms and agreements remain the same.
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)
Jon Gofus, Contracting Officer

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

15B. CONTRACTOR/ OFFEROR

15C. DATE SIGNED

16B. UNITED STATES OF AMERICA~ ~J\(Signature of person authorized to sign)

NSN 7540-01-152-8070
Previous Ed ition unusableI \~.

16C. DATE SIGNEDOCT 21 , 2016~(Signalure(of)Contracling Officer)

STANDARD FORM 30. (Rev. 10-83)
Prescribed by GSA FAR (48 CFR) 53.243

SCHEDULE Continued
ITEM NO.

SUPPLIES/SERVICESQUANTITY

Contracting Officer: Jon Gofus
Primary Contracting Officer Representative: Vernita D.
Harris, 202-482-4686 , vharris@NTIA.doc.gov
Alternate Contracting Officer Representative(s):NonePrimary Technical Point of Contact: None
Alternate Technical Point(s) of Contact:
Vernita D. Harris, 202-482-4686, vharris@NTIA.doc.gov

PAGE 2 OF 2 SA1301-12-CN-0035/0005

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UNITPRICE $AMOUNT$