15JA5421F000000681P00001 Page 1 of 2
15JA5421F000000681P00001 Page 1 of 2
AMENDMENT OF SOLICITATION MODIFICATION OF CONTRACT
2. AMENDMENTMODIFICATCN NUMBER
P00001
6. ISSUED BY 1. CONTRACT ID CODE
GS-25F-0131M PAGE OF PAGES
1 2
5. PROJECT NUMBER (ff
appecalate) 3. EFFECTIVE DATE
07/15/2021 4. REQUISITIORPURCHASE REQUISITION NUMBER
I5JA54-2I-PR-0216
7. ADMINISTERED BY (It orber Man Item 6) CODE 15JA54
U.S. Attorneys Office Southern District of New York
One St. Andrew's Plaza
New York, NY 10007 CODE
8. NAME AND ADDRESS OF CONTRACTOR (Number. street courty. stare and ZIP Code)
CACI, INC. - COMMERCIAL
ATTN CONTRACTS ADMIN. SAM ONLY
14370 NEWBROOK DRIVE
CHANTILLY, VA 20151-4206
DUNS: 030281817 (X) 9k AMENDMENT OF SCLICITATION NUMBER
9B. DATED (SEE ITEM II)
COOF 541001097 IM. MODIFICATION OF CONTRACT:ORDER
NUMBER
15.1A5421F00000068
10B. DATED (SEE ITEM 13)
X
I FAG, ITT croF010 161g17 03/24/2021
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
ElThe above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers ❑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 followkig methods: (a)
By completiv items 8 and 15. and retumi-ig 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 ix:ludas 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 openlig
hour and date specified.
12. ACCOUNTNG AND APPROPRIATION DATA (II required)
OBD-2021-AFF-B-OP-JC2-NYS-PERMID-USA-CAS-25105-2529-202 I
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS ORDERS.
IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.
CHECK ONE 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 IDA_
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 FAR 43.103(b).
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
X D. OTHER (Speedy type of modification and authority)
FAR 1.602-1 and FAR 43.103(6)
E. IMPORTANT: Contractor is not. O a mound to sign this theannent and return copes to the issuing office.
14. DESCRIPTION OF AMENCIMENDMODIFICATION (Organised by UCF warm headings. including sanlagantonbaci solved mutter where (amble.)
R2INTS18013
This administrative contract modification is issued to de-obligate funds and officially close this contact.
Original Obligation: $26.639.04
Total Payments: $0.00
Amount De-obligated: (526.639.04)
Except as prdrided herein. al tams and condbans ol the document referenced n Item 9A a 10A. as heretofore changed. remains unchanged and in Tun force and elect.
ISA. NAME AND TITLE OF SIGNER (Type or wee) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
158. CONTRACTOROFFEROR
(Signature of person authonzed to sign) ISC DATE SIGNED 16B. UNITED STAT S OF AM ICA
By (Signature of Contracting Officer) 180. DATE SIGNED
07/15/2021
Previous cation unusable STANDARD FORM 30 (REV. 11/2016)
Preeaibed by GSA FAR (48 CFR] 53243
EFTA00082823
15JA5421F00000068/P00001 Page 2 of 2
Section 2 - Commodity or Services Schedule
Delivery/Task order under GS-25F-0131M
Scannin /Document mans ement for U.S. v. Maxwell Epstein
AUSA
Quote dated 3/23/2021
Estimated POP: 3/24/2021 - 5/31/2021
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE MATERIAL
COSTS TRAVEL
COSTS AMOUNT
0001 Scan to Digital Image / Document Management Previous : JB Previous: $0.00 $0.00 Previous:
U.S. v. Maxwell Epstein
26,639.04 $1.0000 $26,639.04
Time and Materials
PSC: D312 Change: Change: Change:
Line Period of Performance: 03/24+2021 - 05t3112021 -26,639.04 $0.0000 ($26,639.04)
Current : 0 Current: Current:
$1.0000 $0.00
PREVIOUS TOTAL $26.639.04
CHANGE ($26.639.04)
CURRENT TOTAL $0.00
FUNDING DETAILS:
ITEM
NO. FUNDING LINE OBLIGATED AMOUNT I ACCOUNTING CODES
N/A I Previous : $26.639.04
Change: ($26.639.04)
Current : $0.00 OBD-2021-AFF-8-0P-JCZNYS-PERMID-USA-CAS-25105-2529.2021
PREVIOUS: $26.639.04
CHANGE: ($26.639.04)
CURRENT: $0.00
EFTA00082824