Handbook No. 7460.8 REV 2

            APPENDIX 14. SAMPLE CONTRACT MODIFICATION
            

1.  Modification Number: ___________________________________________

2.  Effective Date:         ___________________________________________

3.  Contract Number: __________________ Dated: ___________________

4.  This Modification Modifies The Contract As Described Below:

This Change Order Is Issued Pursuant To:

       (Cite Contract Clause)  __________________________________________

       The Contract Is Modified To Reflect The Following Administrative Changes (E.G., 
       Changes In Payment Office)  ____________________________

	__________________________________________________________________________

This Supplemental Agreement Is Entered Into Pursuant

       To:  _______________________________________________________________________

       (Cite Contract Clause Or Mutual Agreement Of The Parties)

Other (Specify Type Of Modification And Authority):

5.  The contractor  ___[is] or ___[is not] required to sign this document and return ____ copies 
    to the Contracting Officer.

6.  Description Of Modification:  (Include Section, Clause, Page Number, And Subject Matter)  

    __________________________________________________________________________

Except As Provided Herein, All Terms And Conditions Of The Contract Remain Unchanged 
And In Full Force And Effect.

7.  Name And Title Of Signer: ____________________________________________

Date:  _____________________

8.  Name And Title Of Contracting Officer: _______________________________

Date:	_____________________






            
            
                               a-36
                                                                  2/2007

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