CENTRAL MONTANA HEARING AND AUDIOLOGY, P.C.

ADD ADDITIONAL FUNDS $2500.00 FOR THE AUDIOLOGIST SERVICE FOR NORTHERN CHEYENNE SERVICE UNIT, LAME DEER, MONTANA; YEAR 1 OF 5: $42,500.00($30,000.00/$12,500.00); DOS: 08/08/2025-08/07/2026

AUDIOLOGIST SERVICE FOR NORTHERN CHEYENNE SERVICE UNIT, LAME DEER, MONTANA; YEAR 1 OF 5: $42,500.00($30,000.00/$12,500.00); DOS: 08/08/2025-08/07/2026

FAR 4.804-5 DE-OBLIGATE EXCESS FUNDS AND ADMINISTRATIVELY CLOSE-OUT CONTRACT

DEOB MOD P00008 BILATERAL MODIFICATION IS THE SIX (6) MONTH EXTENSION FOR THE NCSU AUDIOLOGY SERVICES OPTION YEAR 4, 12 DAYS AND 5 ADDITIONAL DAYS $1175.00/DAY: $14,100.00/$5,875.00 = $19,975.00 POP: 10/01/2024 - 03/31/2025

MOD 008 OY3 CSU AUDIOLOGY SERVICES MOD 008 OBLIGATED AMOUNT: $28,800.00 AGGREGATE OBLIGATED AMOUNT: $151,200.00

MOD P00008 BILATERAL MODIFICATION IS THE SIX (6) MONTH EXTENSION FOR THE NCSU AUDIOLOGY SERVICES OPTION YEAR 4, 12 DAYS AND 5 ADDITIONAL DAYS $1175.00/DAY: $14,100.00/$5,875.00 = $19,975.00 POP: 10/01/2024 - 03/31/2025

MOD 008 OY3 CSU AUDIOLOGY SERVICES MOD 008 OBLIGATED AMOUNT: $28,800.00 AGGREGATE OBLIGATED AMOUNT: $151,200.00

MOD 008 OY3 CSU AUDIOLOGY SERVICES MOD 008 OBLIGATED AMOUNT: $28,800.00 AGGREGATE OBLIGATED AMOUNT: $151,200.00

MOD P00007 BILATERAL MODIFICATION FOR THE NCSU AUDIOLOGY SERVICES OPTION YEAR 4, 24 DAYS AND 10 ADDITIONAL DAYS: $28,200.00/$11,750.00 = $39,950.00

MOD 007 OY2 CSU AUDIOLOGY SERVICES MOD 007 OBLIGATED AMOUNT: $57,600.00 AGGREGATE OBLIGATED AMOUNT: $122,400.00

MOD 005 CSU AUDIOLOGY SERVICES MOD 005 OBLIGATED AMOUNT: $4,800.00 AGGREGATE OBLIGATED AMOUNT:$ TO INCLUDE 2 ADDITIONAL DAYS OF SERVICE

MODP00006 BILATERAL MODIFICATION FOR THE NCSU AUDIOLOGY SERVICES OPTION YEAR 3, 24 DAYS AND 10 ADDITIONAL DAYS: $28,200.00/$11,750.00 = $39,950.00