F Contract Mod Req Template

CONTRACT MODIFICATION REQUEST

1. REQUESTING OFFICE

2. CONTRACT NUMBER

3. TASK ORDER NUMBER

4. CONTRACTOR

5. PROJECT TITLE AND LOCATION

6. REQUEST CONTRACTING OFFICER OBTAIN A PROPOSAL FROM THE CONTRACTOR TO PROVIDE ALL MEANS, METHODS, AND TECHNLOGY, AS WELL AS, FURNISH ALL PLANT, LABOR, AND MATERIALS TO

PERFORM ALL WORK NECESSARY TO ACCOMPLISH THE FOLLOWING DESCRIBED WORK:

PLEASE SEE ATTACHMENT(S) IF APPLICABLE:

EXAMPLES: PR, SOW, DRAWINGS, ETC.
NOTE: INDEPENDENT GOVERNMENT ESTIMATES WILL REMAIN INTERNAL USE ONLY.

7. REQUESTOR:

DATE:

SIGNATURE:

8. CONTRACTING OFFICER’S REPRESENTATIVE:

DATE:

SIGNATURE:

9. CONTRACTING OFFICER: CONTRACTOR, YOU ARE HEREBY REQUESTED TO PROVIDE A PROPOSAL

FOR THE WORK DESCRIBED IN BLOCK 6. DO NOT START WORK UNDER THIS PROPOSED CHANGE

UNTIL YOU RECEIVE A COPY OF THE SIGNED SF 30 MODIFICATION. SUBMIT YOUR PROPOSAL IN THE SPACE BELOW AND ATTACH A DETAILED BREAKDOWN OF PRIME AND SUBCONTRACT COSTS. FUNDING NOT APPLICABLE.
FUNDS ARE CURRENTLY AVAILABLE.
FUNDS ARE NOT CURRENTLY AVAILABLE.

DATE:

SIGNATURE:

TITLE: CONTRACTING OFFICER

10. CONTRACTOR: I PROPOSE TO PROVIDE ALL MEANS, METHODS, AND TECHNLOGY, AS WELL AS,

ALL PLANT, LABOR, AND MATERIALS TO PERFORM THE WORK DESCRIBED IN BLOCK 6 UPON

ACCEPTANCE OF THIS PROPOSAL BY THE GOVERNMENT AND RECEIPT OF A SIGNED SF 30

MODIFICATION.

DATE:

SIGNATURE:

TITLE:

REVISED ON DEC 2021