JULY 05
SOLICITATION FOR OFFERS
OUTPATIENT CLINIC
SFO NO. V101-183R-xxx-xxx-xx
[INSERT LOCATION OF FACILITY]
GENERAL SERVICES ADMINISTRATION
SUPPLEMENTAL AGREEMENT
DATE
NO.
PUBLIC BUILDINGS SERVICE
SUPPLEMENTAL LEASE AGREEMENT
TO LEASE NO.
ADDRESS OF PREMISES
THIS AGREEMENT, made and entered into this date by and between
whose address is
hereinafter called the Lessor, and the UNITED STATES OF AMERICA, hereafter called the Government:
WHEREAS, the parties hereto desire to amend the above Lease.
NOW THEREFORE, these parties for the considerations hereinafter mentioned covenant and agree that the said
, as follows:
Lease is amended, effective
All other terms and conditions of the lease shall remain in force and effect.
IN WITNESS WHEREOF, the parties subscribed their names as of the above date.
LESSOR
BY
(Signature)
(Title)
IN PRESENCE OF
(Signature)
(Address)
UNITED STATES OF AMERICA
CONTRACTING OFFICER
BY
________________________________________
(Signature)
(Official Title)
Part IX Forms
Lessor __________ Gov't. __________
__________ of __________ Pages
SUPPLEMENTAL LEASE AGREEMENT SF276
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