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1. CONTRACT ID CODE AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 0002 6. ISSUED BY 4. REQUISITION/P PURCHASE REQ. NO. 1 2 5. P PROJECT NO.(If

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Government contractors: The form, fa4417-09-r-0021, may be required by government agencies from contractors or individuals who are bidding for a specific contract or project.

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What is fa4417-09-r-0021?

It is a procurement form used by the Department of Defense.

Who is required to file fa4417-09-r-0021?

Contractors working on Department of Defense projects are required to file fa4417-09-r-0021.

How to fill out fa4417-09-r-0021?

Contractors must fill out the form with accurate and detailed information about the project.

What is the purpose of fa4417-09-r-0021?

The purpose of fa4417-09-r-0021 is to track and report on Department of Defense procurement projects.

What information must be reported on fa4417-09-r-0021?

Information such as project details, budget, timeline, and contractor information must be reported on fa4417-09-r-0021.

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