BPA 4220.51 Amendment of Solicitation/ Modification of Contract/Orde

BPA F 4220.51e
[Date]

OMB #
Expiration Date: XX/2024

U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION (BPA)

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT/ORDER
PAPERWORK REDUCTION ACT BURDEN DISCLOSURE STATEMENT
This data is used to amend a solicitation or modify a contract or order. This form will assist in ensuring all changes are applied appropriately. Public reporting burden for this
collection of information is estimated to average 9 minutes per response, including the time for reviewing instructions, searching for existing data sources, gathering and maintaining
the data needed and completing and reviewing the collection of information. Send any comments regarding this burden estimate or any other aspect or any other aspect of this
collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Enterprise Policy Development & Implementation Office, IM-22,
Paperwork Reduction Program (OMB XXXXX ), US Department of Energy, 1000 Independence Ave, SW, Washington, DC 20585-1290; and to the Office of Management &
Budget (OMB), OIRA, Paperwork Reduction Project (OMB XXXXX ), Washington, DC 20503.

1. Contract ID Code
2. Amendment/Modification No.

3. Effective Date

6. Issued By

4. Requisition/Purchase Req. No.

5. Project No. (If applicable)

7. Administrated By (If different than Item 6)
9A. Amendment of Solicitation No.

AF
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8. Name and Address Of Contractor (No. Street, county, State and ZIP: Code)

9B. Solicitation Dated

10A. Modification of Contract/Order No.
10B. Original Contract/Order Date

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 one (1) copy of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;
or (c) By separate letter or facsimile 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 DATA 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 data specified.

12. Accounting and Appropriation Data (If required)

13. This item applies only to Modifications of Contracts/Orders,
It Modifies the Contract/Order No. as Describes in item14.

A. This Change Order is Issued Pursuant To: BPI Part 14 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 BPI Part 14.

R

C. Other (Specify type of modification and authority)
D. Important Contractor

is not,

is required to sign this document and return

copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (If full modification cannot fit within this space utilizes a continuation and marks this

D

section “SEE CONTINUATION SHEET”.)
a. The purpose of this modification is to:

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)
16A. Name and Title of Contracting Officer (Type or print)
15B. Contractor/Offeror

_____________________________________________
(Signature of person authorized to sign)

15C. Date Signed

16B. United States of America

16C. Date Signed

BY
_____________________________________________
(Signature of Contracting Officer)

File Code; SU-12a; Retention; For SU-12a, contracts <$100,000: Retain while Active* + 3 years, and then dispose. *Active period ends upon
termination of contract or expiration of warranty. File Code; SU-12b; Retention; For SU-12b, contracts >$100,000: Retain while Active* + 6 years, and
then dispose. *Active period ends upon termination of contract or expiration of warranty.