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
There are usually 12 pairs of ribs in all. Each pair of ribs is attached to the building blocks of the spine (the vertebrae) in the back. The 12 pairs of ribs consist of: True ribs: The first seven ribs attach to the sternum (the breast bone) in the front and are known as true (or sternal) ribs. False ribs: The lower five ribs do not directly connect to the sternum and are known as false ribs.