5th Modification 11/18/2016 AMENDMENT OF SOLICITATIONI'MODIFICATION OF CO�NTRACT I CONTRACT ID CODE PAGE�[OFPJA6 S
2 AMENDMENT MODIFICAT ION NO 3 EFFECTIVE DATE 4. REQU—ISITIONIPURCHASE REQ..NO. 5 PROJECT NO (11'applicable)
P90 See lock 16C
6 ISSUED BY 7.ADMINISTRATED BY(Iftitherthan Item 6)
Office of Acquisition, TSA-1 0 Office of Acquisition-Human Capital and Finance Division
Transportation Security Administration Transportation Security
701 South 12 th Street 701 South 12 Ih Street
Arlington, VA 22202-4220 Arlington, VA 22202-4220
8 NAME AND ADDRESS OF CONTRACTOR(No street,county State and ZIP Code) E] 9A AMENDMENT OF SOLICITATION NO
Key West International Airport
3491 South Roosevelt Blvd 9B DATED(SEE ITEM 11)
Key West, Florida 33040-5295
OA, MODIFICATION OF CONTRACT�ORDER NO
S02-1 3-H-SLRO41
CAGE CODE FACILITY CODE 10/01/2012
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 Offer is 1:1 extended 1:1 is not extended
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation on as amended,by one of the following methods
(a) By completing Item 8 and 15,and returning®copies of the amendment (b)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 ACKNOWLEDG-
MENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR 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 maybe 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 hours and date specified
12. ACCOUNTING AND APPROPRIATION DATA(If required)
5.AV167AO00D.2016.ADEOI0.GE0000.3100.6100.616SLR.5903001107010000.4101 Net Decrease: $0.06
13. THIS IT APPLIES ONLY TO MODIFICATIONS OF CONTRACTSIORDERS IT MODIFIES THE CONTRACT/ORDER O.
AS DESCRIBED IN IT 14.
A THIS CHANGE ORDER IS ISSUED PURSUANT TO (Specify authority)THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACTiORDER NO IN ITEM 10A
B THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES such as changes in paying office,
approptiation data,etc) SET FORTH IN ITEM 14
C THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF.
D OTHER(Specify type of modification and authority)
FAR Part 4.804 Closeout of Contract Files;Aviation Transportation Security Act(ATSA)49 USC§1 06(l)(6)
E. IMPORTANT: Contractor 0 is not, 0 is required to sign this document and return I copy 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 de-obligate residual funds and close the Agreement referenced in Block I OA above in its entirety.
De-obligation of residual funding is referenced in Block 12 above. The funded amount of this Agreement is reduced from $203,981.49
by$0.06 to$203 9_81.43,
The Contractor does remise, release, and discharge the Government, its officers, agents and employees, of and from all liabilities,
obligations,claims and demands whatsoever under or arising from the said Agreement.Therefore,this Agreement is hereby closed.
The parties hereby certify that all contract actions required by the contract have been fully and satisfactorily accomplished.
/Xi'1t,I-07FINAL ACTIONHHHH/h'
Except as provided herein,ail 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 orprint) 16A NAME AND TITLE OF CONTRACTING OFFICER(Type orphnt)
Kenneth Garthe
Beth Leto, Airport Business Manager Contracting Officer
15B CONTRACTOWOFFEROR 15C,DATE SIGNED 16B.UNITED STATES OF AMERICA 16C DATE SIGNED
BY
(Signature btperson authorized to sign) {Signature of Contracting Officer)
OMB Control No 2120-0595 (SF-30)FAA Template No 11 (Reverse)(8197)
TSAJCPMD Closeout Document(5),Rev 10/27/2008
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