AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

4. REQUISITION/PURCHASE REQ. NO.

See Block 14

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE SPE300 7. ADMINISTERED BY (If other than Item 6) CODE SPE300

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

HEALTHWAY GROUP BY LABRIUTE LLC 

 DBA 

520 James St Ste 1c 

LAKEWOOD NJ 08701-4052 

USA

CODE 81N32 FACILITY CODE

10A. MODIFICATION OF CONTRACT/ORDER NO.

SPE3S1-19-D-Z119

10B. DATED (SEE ITEM 13)

2019 JUL 09

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. 

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 you 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.

copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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:

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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:

X

E. IMPORTANT: Contractor X 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.

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

NSN 7540-01-152-8070 

Previous edition unusable

STANDARD FORM 30 (REV. 10-83) 

Prescribed by GSA FAR (48 CFR) 53.243

15B. CONTRACTOR/OFFEROR 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer) (Signature of person authorized to sign)

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

(a) By completing Items 8 and 15, and returning

DLA TROOP SUPPORT 

SUBSISTENCE SUPPLY CHAIN 

700 ROBBINS AVENUE 

PHILADELPHIA PA 19111-5096 

USA 

 Initiator: KATHERINE KNECHT 

 PHPHBB5 Tel: 215-737-7391 FAX: 215-737-4719 Email: katherine.knecht@dla.mil

DLA TROOP SUPPORT 

DIRECTORATE OF SUBSISTENCE 

700 ROBBINS AVENUE 

PHILADELPHIA PA 19111-5096 

USA

 15C. DATE SIGNED

KATHERINE KNECHT

16C. DATE SIGNED

2019 DEC 04

X

D. OTHER (Specify type of modification and authority)

FAR 43.103(b)

3. EFFECTIVE DATE

See Blk. 16C

See Continuation Sheet

1. CONTRACT ID CODE

J

 2. AMENDMENT/MODIFICATION NO. 

P00003

(X)

 CHECK ONE

9A. AMENDMENT OF SOLICITATION NO. 

9B. DATED (SEE ITEM 11)

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

 IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

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I. The following changes apply to Contract SPE3S1-19-D-Z119: 

Recent changes guidance requires the addition of language to all contracts, commercial and non-commercial, delivery 

orders against contracts and all solicitations issued on or after August 13, 2019. Therefore, for contracts already 

in place, incorporate clause 52.204-25. 

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (AUG 

2019) (Section 889(a)(1)(A) of Pub. L. 115-232). FAR_Case_2018-017-Interim_rule.pdf 

 (a) Definitions. As used in this clause— 

Covered foreign country means The People’s Republic of China. 

Covered telecommunications equipment or services means- 

 (1) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary 

or affiliate of such entities); 

 (2) For the purpose of public safety, security of Government facilities, physical security surveillance of 

critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment 

produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology 

Company (or any subsidiary or affiliate of such entities); 

 (3) Telecommunications or video surveillance services provided by such entities or using such equipment; or 

 (4) Telecommunications or video surveillance equipment or services produced or provided by an entity that the 

Secretary of Defense, in consultation with the Director of National Intelligence or the Director of the Federal Bureau 

of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the 

government of a covered foreign country. 

Critical technology means- 

 (1) Defense articles or defense services included on the United States Munitions List set forth in the 

International Traffic in Arms Regulations under subchapter M of chapter I of title 22, Code of Federal Regulations; 

 (2) Items included on the Commerce Control List set forth in Supplement No. 1 to part 774 of the Export 

Administration Regulations under subchapter C of chapter VII of title 15, Code of Federal Regulations, and controlled— 

 (i) Pursuant to multilateral regimes, including for reasons relating to national security, chemical and 

biological weapons proliferation, nuclear nonproliferation, or missile technology; or 

 

 (ii) For reasons relating to regional stability or surreptitious listening; 

 (3) Specially designed and prepared nuclear equipment, parts and components, materials, software, and technology 

covered by part 810 of title 10, Code of Federal Regulations (relating to assistance to foreign atomic energy 

activities); 

 (4) Nuclear facilities, equipment, and material covered by part 110 of title 10, Code of Federal Regulations 

(relating to export and import of nuclear equipment and material); 

 (5) Select agents and toxins covered by part 331 of title 7, Code of Federal Regulations, part 121 of title 9 of 

such Code, or part 73 of title 42 of such Code; or 

 (6) Emerging and foundational technologies controlled pursuant to section 1758 of the Export Control Reform Act 

of 2018 (50 U.S.C. 4817). 

Substantial or essential component means any component necessary for the proper function or performance of a piece of 

equipment, system, or service. 

 (b) Prohibition. Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 

(Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, 

or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered 

telecommunications equipment or services as a substantial or essential component of any system, or as critical 

technology as part of any system. The Contractor is prohibited from providing to the Government any equipment, system, 

or service that uses covered telecommunications equipment or services as a substantial or essential component of any 

system, or as critical technology as part of any system, unless an exception at paragraph (c) of this clause applies 

or the covered telecommunication equipment or services are covered by a waiver described in Federal Acquisition 

Regulation 4.2104. 

 (c) Exceptions. This clause does not prohibit contractors from providing— 

 (1) A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection 

arrangements; or 

 (2) Telecommunications equipment that cannot route or redirect user data traffic or permit visibility into any 

user data or packets that such equipment transmits or otherwise handles. 

 (d) Reporting requirement. 
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SPE3S1-19-D-Z119 / P00003

 (1) In the event the Contractor identifies covered telecommunications equipment or services used as a 

substantial or essential component of any system, or as critical technology as part of any system, during contract 

performance, or the Contractor is notified of such by a subcontractor at any tier or by any other source, the 

Contractor shall report the information in paragraph (d)(2) of this clause to the Contracting Officer, unless 

elsewhere in this contract are established procedures for reporting the information; in the case of the Department of 

Defense, the Contractor shall report to the website at https://dibnet.dod.mil. For indefinite delivery contracts, the 

Contractor shall report to the Contracting Officer for the indefinite delivery contract and the Contracting Officer(s) 

for any affected order or, in the case of the Department of Defense, identify both the indefinite delivery contract 

and any affected orders in the report provided at https://dibnet.dod.mil. 

 (2) The Contractor shall report the following information pursuant to paragraph (d)(1)of this clause: 

 (i) Within one business day from the date of such identification or notification: the contract number; the 

order number(s), if applicable; supplier name; supplier unique entity identifier (if known); supplier Commercial and 

Government Entity (CAGE) code (if known); brand; model number (original equipment manufacturer number, manufacturer 

part number, or wholesaler number); item description; and any readily available information about mitigation actions 

undertaken or recommended. 

 (ii) Within 10 business days of submitting the information in paragraph (d)(2)(i)of this clause: any 

further available information about mitigation actions undertaken or recommended. In addition, the Contractor shall 

describe the efforts it undertook to prevent use or submission of covered telecommunications equipment or services,and 

any additional efforts that will be incorporated to prevent future use or submission of covered telecommunications 

equipment or services. 

 (e) Subcontracts. The Contractor shall insert the substance substance of this clause, including this paragraph 

(e), in all subcontracts and other contractual instruments, including subcontracts for the acquisition of commercial 

items. 

(End of clause)