━ PAGE 1 ━
CONTRACT DIRIBUTION LIST
VIRGINIA CONTRACTING ACTIVITY
Building 6000, Bolling AFB
Washington, D.C. 20340-5100
DATE: 18 May 2010
PIIN: HHM402-08-C-0072
Delivery Order /Task Order:
MOD: P00003
REQ: Admin Mod
CS:
КО
(b)(3) 10 USC 424, (0)(6)
TO:
L. Contractor
Stamp the copy-
"Duplicate Original
Contractor Copy"
2. Payment Office
NSA
СОРУ
SENT
:
4. COR/POC
ADDRESS:
Bigelow Aerospace Advanced
4640 S. Eastern Ave
A Veson, N 89119
NSA FINANCE AND ACCOUNTING OFFICE
P.O. Box 1685 ATTN: DF2211
FT George Meade, MD 20755-6000
Phone: 410-854-7657 & 410-854-8742 (for Invoice status)
NIPR: operationpayment@nsa.gov (for Invoice status)
(b) (6)
(6)(3) 10 USC 424, (b)(6)
NO. OF
COPIES
1
1
5. DI FE Representative
6. Report Copy DD-350
7. Contract File
(Original)
8. Other
COPIES:
x
AE-ZA
D.O. File
1
1
1
1
7
(b)(3): 10 USC 424, (b)(6)
DISTRIBUTION COMPLETED:
TOTAL NO
5-18-10
(Date)
━ PAGE 2 ━
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE
2. AMENDMENT/MODIFICATION NO.
3. EFFECTIVE DATE
4. REQUISITION/PURCHASE REG. NO.
P00003
MAY 18, 2010
CODE HHQ402
PAGE OF PAGES
1
2
5. PROJECT NO. (If applicble)
6. ISSUED BY
Virginia Contracting Activity
ATTN: AE-2
Bolling AFB, Bldg. 6000
Washington DC 20340-5100
(b)(3):10 USC 424, (b)(6)
8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
BIGELOW AEROSPACE ADVANCED SPACE STUDIES,
DUNS: 827037768
LLC
Cage Code: 54JU7
4640 S EASTERN AVE
LAS VEGAS NV 891196135
7. ADMINISTERED BY (if other than item 6)
Virginia Contracting Activity
ATTN: DIAC, AE-2
Building 6000
Washington DC 20340-5100
CODE ZD50
(X)
9A. AMENDMENT OF SOLICIATION NO
9B. DATED (SEE ITEM 11)
10A. MODIFICATION OF CONTRACT/ORDER NO.
HHM402-08-C-0072
CODE 00000434
FACILITY CODE
10B. DATED (SEE ITEM 13)
SEP 22, 2008
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
• is extended,
is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
(a)By completing items 8 and 15, and returning
copies of the amendment: (b) By acknowledging receipt of this amendment on each copy of the offer submitted;
or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE
PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment
your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this
amendment, and is received prior to the opening hour and date specified.
12. ACCOUNTING AND APPROPIATION DATA (if required)
See Schedule
Modification Amount: $0.00
Modification Obligated Amount: $0.00
CHECK ONE
A.
13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER
NO. IN ITEM 10A.
B.
C.
THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office.
appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor
is not,
is required to sign this document and return
copies to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
The purpose of this modification is to Change the COR designation on Contract HHM402-08-C-0072 in accordance with the terms below:
a) The following individual is named as the Contracting Officer™s Representative:
(b)(3): 10 USC 424, (b)(6)
b) For guidance from the COR to be valid, it must be:
1. Consistent with the Statement of Work for this Contract.
2. Not constitute a new assignment of work or change the expressed terms, conditions, or specifications incorporated in this Contract.
3. Not constitute a basis for extension to the period of performance or delivery schedule.
4. Not constitute a basis for increase in any CLIN quantities or in the total contract value.
c) All other terms and conditions remain the same.
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER (Type or print)
11513) 406 SC 424, 606 CONTRACTING OFFICE TVe or ON)
15B. CONTRACTOR/OFFEROR
15C. DATE SIGNED
(Signature of person authorized to sign)
NSN 7540-01-152-8070
Previous edition unusable
16C. DATE SIGNED
- 5-18-10
STAND A CS AM 30/5, 1083)
━ PAGE 3 ━
Security Classification
Document: P00003 | P00003 COR Change
Document Classification: Unclassified
Cover Page
