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
Check if you have a bruised or broken rib. Broken (fractured) or bruised ribs are usually caused by a fall, a blow to the chest or severe coughing. Symptoms include: strong pain in your chest area, particularly when you breathe in; swelling or tenderness around the affected ribs; sometimes bruising on the skin; feeling or hearing a crack if it's a broken rib