Exhibit 10.4
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1. CONTRACT ID CODE PAGE OF
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1 1
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2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE XXX.XX. 5. PROJECT NO. (If applicable)
010 02/25/2005
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6. ISSUED BY CODE 1CDSEQ 7. ADMINISTERED BY (IF OTHER THAN ITEM 6) CODE 1CDSEQ
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DELIVERY, INDUSTRIAL EQUIP & TELECO Xxxxx X. Xxxxxxxx, C.P.M.
Delivery Services Equipment Team Lead-Delivery Equipment
XX Xxx 00000 Phone: (000) 000-0000
Xxxxxxxxxx XX 00000-0000 Fax: (000) 000-0000
email: xxxxx.x.xxxxxxxx@xxxx.xxx
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8. NAME AND ADDRESS OF CONTRACTOR |(x)| 9A. AMENDMENT OF SOLICITATION NO.
(No., STREET, COUNTY, STATE AND ZIP CODE)
SECURITY MANUFACTURING CORP. --------------------------------------------------------------
Attn: XXX XXXXXXX 9B. DATED (SEE ITEM 11)
000 X XXXX XXXXXX
XXXXXXXXX XX 00000-0000
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|(x)| 10A. MODIFICATION OF CONTRACT/ORDER NO.
072368-01-P-0380
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|(x)| 10B. DATED (SEE ITEM 13)
04/06/2001
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CODE 251894655 FACILITY CODE
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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
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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 number. FAILURE OF YOUR ACKNOWLEDGEMENT
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.
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12. ACCOUNTING AND APPROPRIATION DATA (IF REQUIRED.) $0.00
See Schedule
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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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(x) | A. THIS CHANGE BY CLAUSE IS ISSUED PURSUANT TO: (SPECIFY CLAUSE) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE
------| CONTRACT ORDER NO. IN ITEM 10A.
| | |
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| 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.
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| C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO THE AUTHORITY OF: THE CHANGES SET FORTH IN ITEM 14 ARE MADE
| IN THE CONTRACT ORDER NO. IN ITEM 10A.
|x| | mutual agreement
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| D. OTHER (SUCH AS NO COST CHANGE/CANCELLATION, TERMINATION, ETC.) (SPECIFY TYPE OF MODIFICATION AND AUTHORITY): THE
| | | CHANGES SET FORTH IN ITEM 14 ARE MADE IN FJ THE CONTRACT ORDER NO. IN ITEM 10A
|
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E. IMPORTANT: Contractor | |is not, |x|is required to sign this document and return 1 copies to the issuing office.
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14. DESCRIPTION OF AMENDMENT/MODIFICATION (ORGANIZED BY UCF SECTION HEADINGS, INCLUDING SOLICITATION/CONTRACT SUBJECT MATTER WHERE
FEASIBLE.)
SUB REPT REQ'D: N PAYMENT TERMS: NET30
LIST OF CHAGNES:
This modification is issued to extend the period of performance of this national contract for Central Delivery Equipment via
eBuy. New period of performance is 03/01/2005 through 05/31/2005.
No change in unit prices.
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
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15A. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 16A. NAME AND TITLE OF CONTRACTING OFFICER (TYPE OR PRINT)
Xxx X. Xxxxxxx, President Feb. 28, 2005 Xxxxx X. Xxxxxxxx, C.P.M. Feb. 28, 2005
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15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. CONTRACT AUTHORITY 16C. DATE SIGNED
/s/ Xxx X. Xxxxxxx /s/ Xxxxx X. Xxxxxxxx C.P.M.
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(SIGNATURE OF PERSON AUTHORIZED TO SIGN) (SIGNATURE OF CONTRACTING OFFICER)
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Supplier
