━ PAGE 1 ━
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
2. AMENDMENT/MODIFICATION NO.
3. EFFECTIVE DATE
T. CONTRACT ID CODE
4. REQUISITION/PURCHASE REQ. NO.
PAGE OF PAGES
1
4
5. PROJECT NO. (7 applicble)
P00005
SEP 28, 2010
8. ISSUED BY
CODE HHQ402
7. ADMINISTERED BY (if other then item 6)
CODE 2D50
Virginia Contracting Activity
Virginia Contracting Activity
ATTN: AE-2
ATTN: DIAC, AE-2
Bolling AFB, Bidg. 6000
Building 8000
a 0s 20310-5100
Washington DC 20340-5100
NIGELOWAEROSPACE AOVANCED SPACE SUBIES, CUNS: 827037788
(x)
9A. AMENDMENT OF SOLICIATION NO.
LLC
Cage Code: 54JU7
4640 S EASTERN AVE
8B. DATED (SEE ITEM 11)
LAS VEGAS NV 891196135
10A. MODIFICATION OF CONTRACT/ORDER NO.
HHM402-08-C-0072
108. DATED (SEE ITEM 13)
SEP 22, 2008
CODE 00000434
FACILITY CODE
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
The above numbered solicitation in amended as set forth in Item 14. The hour and date apecilled for recept of Offera is extended,
'a not extended.
Offera must acknowledge receipt of this amendment prior to the hour and date specified in the soficitation or as amended, by one of the following methods;
(a)By completing items 8 and 15, and retuming
copies of the amendment; (b) By acknowladging 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 numbars.
FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE
smendment, 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.
THE ABOVE NUMBEREO 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:
Mutual Agreement
OTHER (Specity type of modification and authority)
E. IMPORTANT: Contractor
is not,
x is required to sign this document and return
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, Including solicitation/contract subject matter where feasib!a.)
The purpose of this modification is to accomplish the following:
a) Bilaterally extend the POP from 09/22/2010 to 12/21/2010.
b) Persuant to FAR clause 52.217-8 Option to Extend Services, this contract is extended from 09/22/2010 TO 12/21/2010.
c) No funding is required for this extension.
copies to the issuing office.
No other changes are made as a result of this modification.
Except as provided herein, ail terms and conditions of the document referenced in Item 9A or 10A, as heretafore changed, remains unchanged and in full force and effect.
TRA NAME AMO TITOR GUANA TEA
AAP Person 4
16A. NAME ANO TITLE OF CONTRACTING OFFICER (Tyne of Mint)
administ 0x8310 USC 424, (ox6)
9/28/10
986101-1128070
16C. DATE SIGNED
SEP 28, 2010
48006: 19891
━ PAGE 2 ━
TEM NO.
1001
1002
1003
1004
1005
1006
Unclassified
SCHEDULE Continued
QUANTITY
BUPPLIES SERVICES
(Changed Line Item)
Option Year: 22 September 2009 - 21 September 2010
Monthly Status Reports
Quantity 12
Accounting and Appropriation Data:
ACRN: AB
9700100.4400 110249 25201 $49205 CCXX 16P10171
1106 610000
$1,549,100.00
Period of Performance: 09/22/2009 to 12/21/2010
(Changed Line Item)
Project Management Plan for Tasks 3.a.1 - 3.a.12
Quantity 12
Accounting and Appropriation Data:
9700100.4400 1102A9 25201 S49205 CCXX 16P1011
1106 610000
$4,759,300.00
Period of Performance: 09/22/2009 to 12/21/2010
(Changed Line Itern)
Research Report for Tasks 3.a.1. -3.a.12
Quantity 12
Accounting and Appropriation Dala:
ACRN: AB
9700100.4400 1102A9 26201 S49205 CCXX 16P1011
1106 610000
$2,870,600.00
Period of Pertormance: 09/22/2009 to 12/21/2010
(Changed Line Item)
Comprehensive Integrated Threat Assessment
Accounting and Appropriation Data:
ACRN: AB
9700100.4400 1102A9 25201 S49205 CCXX 16P1011
1108 610000
$220,200.00
Period of Performance: 09/22/2009 to 12/21/2010
(Changed Line Item)
Travel
Accounting and Appropriation Data:
ACRN: AB
9700100.4400 1102A9 25201 S49205 CCXX 16P1011
1106 610000
1$36,700.00
Period of Performance: 09/22/2009 to 12/21/2010
(Changed Line Item)
Other Direct Costs
Accounting and Appropriation Data:
ACRN: AB
UHIT
1.00 LO
UNTT PRICE #
1,549,100.00
AMOUNT S
1,549.100.00
1.00 LO
4,759,300.00
4,759.300.00
..
1.00
LO
2,870,600.00
2,870,600.00
1.00 LO
220,200.00
220,200.00
1.00 LO
36,700.00/
36,700.00
1.00 LO
2,494,810.00
2,494,610.00
PAGE 2 OF 3
Unclassifled
━ PAGE 3 ━
ITEM NO.
1007
1008
1009
Unclassified
SCHEDULE Continued
QUANTITY
BUPPLIES/SERVICES
9700100.4400 1102A9 25201 S49205 CCXX 16P1011
1106 610000
$2,494,610.00
Period of Performance: 09/22/2009 to 12/21/2010
(Changed Line Item)
Additional Travel
Accounting and Appropriation Data:
ACRN: AB
9700100.4400 1102A9 25201 S49205 CCXX 16P1011
1106 610000
1$18,300.00
Period of Performance: 09/22/2009 10 12/21/2010
(Changed Line Item)
UNUSED - This line item is unused but must remain part
of the contract to insure proper accounting information Is
aligned to revised CLINS. Original 0001 from PR
Accounting and Appropriation Dals:
ACRN: AB
9700100.4400 1102A9 25201 S49205 CCXX 16P1011
1106 610000
$0.00
(Changed Line Item)
UNUSED - This line Item is unused but must remain part
of the contract lo insure proper accounting information is
aligned to revised CLINS. Original 0002 from PR
Accounting and Appropriation Data:
ACRN: AB
9700100.4400 110249 25201 549205 CCXX 16P1011
1106 610000
$0.00
UMT
UNIT PRICE 1
AMOUNT S
1.00
LO
18,300.00
18,300.00
1.00 LO
0.00
0.00
1.00 LO
0.00
0.001
PAGE 3 OF 3
Unclassified
━ PAGE 4 ━
Security Classification
Document: P00005 | P00005
Document Classlication: Unclassifad
Cover Page
━ PAGE 5 ━
CONTRACT DIRIBUTION LIST
VIRGINIA CONTRACTING ACTIVITY
Building 6000, Bolling AFB
Washington, D.C. 20340-5100
DATE: 29 Sep 2010
PIN: HHM402-08-C-0072
Delivery Order /Task Order:
MOD: P00005
REQ: Admin Mod
CS:
(D73) 10 USC 424, (0)(6)
TO:
1. Contractor
Stamp the copy—
"Duplicate Original
Contractor Copy"
2. Payment Office
NSA
eOrY
SENT
X
Bigelow Aerospace Advanced
4640 S. Eastern Ave
Las Vegas. NV 89119
AAP Person 4
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)
L(b) (6)
CONES
1
1
4. COR/POC
5. DI FF. Representative
(b)(3) 10 USC 424, (b)(6)
6. Report Copy DD-350
7. Contract File
(Original)
8. Other
COPIFS:
X
X
AE-2A
D.O. File
DISTRIBUTION COMPLETED: (0X3, 10 USC 424, (b6)
(Signature)
1
1
1
1
TOTAT. NO.
7
9-29-10
(Date)
