AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICAITON NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicble)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICIATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

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 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 your 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 APPROPIRATION DATA (If required)

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

IT MODIFIES THE CONTRACT/ORDER NO. 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

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:

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.

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable
INSTRUCTIONS

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

Item 1 (Contract ID Code) . Insert the contract

type identification code that appears in the title 

block of the contract being modified.

Item 3 (Effective date) . 

(1)

(2)

(3)

(4)

(5)

For a solicitation amendment, change order, 

or administrative change, the effective date 

shall be the issue date of the amendment, 

change order, or administrative change.

For a supplemental agreement, the effective 

date shall be the date agreed to by the 

contracting parties.

For a modification issued as an initial or 

confirming notice of termination for the

convenience of the Government, the

effective date and the modification number 

of the confirming notice shall be the same 

as the effective date and modification

number of the initial notice.

For a modification converting a termination 

for default to a termination for the

convenience of the Government, the

effective date shall be the same as the 

effective date of the termination for default.

For a modification confirming the contacting 

officer's determination of the amount due in 

settlement of a contract termination, the 

effective date shall be the same as the 

effective date of the initial decision.

(a)

(b)

(c)

(d)

(e)

(f)

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

of the issuing office. If applicable, insert the 

appropriate issuing office code in the code block.

Item 8 (Name and Address of Contractor) . For

modifications to a contract or order, enter the 

contractor's name, address, and code as shown 

in the original contract or order, unless changed 

by this or a previous modification.

Item 9, (Amendment of Solicitation No. - Dated),

and 10, (Modification of Contract/Order No. -

Dated ). Check the appropriate box and in the

corresponding blanks insert the number and date 

of the original solicitation, contract, or order.

Item 12 (Accounting and Appropriation Data) . When appropriate, indicate the impact of the 

modification on each affected accounting classification by inserting one of the following 

entries.

(2) Accounting classification

Net decrease $

Include subject matter or short title of

solicitation/contract where feasible.

Item 16B . The contracting officer's signature is not required on solicitation amendments. The 

contracting offier's signature is normally affixed 

last on supplemental agreements.

(i)

NOTE: If there are changes to multiple accounting classifications that cannot be placed in 

block 12, insert an asterisk and the words "See 

continuation sheet".

Item 13 . Check the appropriate box to indicate

the type of modification. Insert in the

corresponding blank the authority under which the 

modification is issued. Check whether or not 

contractor must sign this document. (See FAR 

43.103.)

Item 14 (Description of Amendment/Modification) .

Organize amendments or modifications under 

the appropriate Uniform Contract Format

(UCF) section headings from the applicable 

solicitation or contract. The UCF table of 

contents, however, shall not be set forth in 

this document

Indicate the impact of the modification on the 

overall total contract price by inserting one of 

the following entries:

Total contract price increased by $

Total contract price decreased by $

Total contract price unchanged.

State reason for modification.

When removing, reinstating, or adding funds, 

identify the contract items and accounting 

classifications.

When the SF 30 is used to reflect a

determination by the contracting officer of 

the amount due in settlement of a contract 

terminated for the convenience of the

Government, the entry in Item 14 of the 

modification may be limited to --

A reference to the letter determination; and

A statement of the net amount determined 

to be due in settlement of the contract.

(g)

(h)

(i)

(ii)

(1)

(2)

(3)

(4)

(5)

(6)

(i)

(ii)

(iii)

STANDARD FORM 30 (REV. 10-83) BACK

(1) Accounting classification

Net increase $