Nothing in FAR and no standard FAR clause authorizes a CO to unilaterally update, add, or delete clauses in a contract after award. None of the five Changes clauses, FAR 52.243-1 through -5, empower a CO to do that. Thus, with a few exceptions, which are discussed below, changes to FAR clauses â revisions, additions, and deletions â must be accomplished through supplemental agreement [(bilateral modification). See FAR 43.103(a)(3).
What else do I need to know about rib fractures? Flail chest occurs if 3 or more of your ribs are broken in 2 or more places. This condition may make it hard for you to breathe. Normally, when you take a breath, your rib cage expands. Flail chest prevents your ribs from expanding. This can cause your broken ribs to push inward on your organs. What are the signs and symptoms of a rib fracture? Chest wall pain that worsens when you breathe, move, or cough
Overview. You have 24 ribs (seven sets) that protect your internal organs and help you breathe. A direct blow to the chest can cause ribs to bruise, break, or separate from the breastbone. While bruised ribs are extremely painful, in most cases they heal completely.he most likely cause of bruised ribs is a blow to the chest. This pushes the ribs against the surrounding muscles and the impact may bruise the ribs. While the injury is referred to as bruised ribs, the majority of the pain is caused by injuries to the surrounding muscles and rib cage cartilage.