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Amendment 4

Updated

A PDF document (876 KB) attached to 19BH2027Q0001 Health and Life Insurance Services for Locally Employed Staff pf the U.S. Mission in Belize, from the Department of State. Due Nov 20, 2026, 12:00 PM (UTC-6).

File name: Amendment_19BH2027Q0001_00004.pdf

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

2. AMENDMENT/MODIFICATION NUMBER

00004

6. ISSUED BY

3. EFFECTIVE DATE

CODE

11/13/2026
19BH20

American Embassy Belmopan

4 Floral Park Street

Belmopan, Belize
ATTN: Contracting

PA E
I �

1. CONTRACT ID CODE

4. REQUISITION/PURCHASE REQUISITION NUMBER

7. ADMINISTERED BY (If other than Item 6)

OF

I

PAGES

5. PROJECT NUMBER (If applicable)

I 19BH20

CODE

American Embassy Belmopan

4 Floral Park Street

Belmopan, Belize

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code)

X

9A. AMENDMENT OF SOLICITATION NUMBER

□X 19BH2027Q0001

9B. DATED (SEE ITEM 11)

10/5/2026

□

I FACILITY CODE

CODE

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[gj The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers [gj is extended.

D

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 electronic communication 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

CHECK ONE

□
□
□
□

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NUMBER IN ITEM 10A.
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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:

D. OTHER (Specify type of modification and authority)

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