UFO-Programm AAWSAP: Vertragsänderung P00005 (2010)

[PAGE 1] AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE: [blank] PAGE OF PAGES: 1 OF 4 2. AMENDMENT/MODIFICATION NO.: P00005 3. EFFECTIVE DATE: SEP 28, 2010 4. REQUISITION/PURCHASE REQ. NO.: [blank] 5. PROJECT NO. (If applicable): [blank] 6. ISSUED BY CODE HHQ402 Virginia Contracting Activity ATTN: AE-2 Bolling AFB, Bldg. 6000 Washington DC 20340-5100 [Redacted: (b)(3):10 USC 424, (b)(6)] 7. ADMINISTERED BY (if other than Item 6) CODE ZD50 Virginia Contracting Activity ATTN: DIAC, AE-2 Building 6000 Washington DC 20340-5100 8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code): BIGELOW AEROSPACE ADVANCED SPACE STUDIES, LLC DUNS: 827037768 Cage Code: 54JU7 4640 S EASTERN AVE LAS VEGAS NV 891196135 CODE 00000434 FACILITY CODE: [blank] (X) 9A. AMENDMENT OF SOLICIATION NO.: [blank] 9B. DATED (SEE ITEM 11): [blank] 10A. MODIFICATION OF CONTRACT/ORDER NO.: HHM402-08-C-0072 [X] 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 APPROPRIATION DATA (if required): See Schedule Modification Amount: $0.00 Modification Obligated Amount: $0.00 13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. CHECK ONE: A. 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. [not checked] B. 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). [not checked] C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: Mutual Agreement [X] D. OTHER (Specify type of modification and authority): [blank] E. IMPORTANT: Contractor [ ] is not, [X] is required to sign this document and return 1 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 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. No other changes are made as a result of this modification. 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): AAP Person 4 15B. [signature, partially illegible: "Administ..."] 15C. DATE SIGNED: 9/28/10 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print): [Redacted: (b)(3):10 USC 424, (b)(6)] 16C. DATE SIGNED: SEP 28, 2010 NSN 7540-01-152-8070 Previous edition unusable STANDARD FORM 30 (REV. 10-83) (48 CFR) 53.243 [PAGE 2] Unclassified SCHEDULE Continued ITEM NO. | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE $ | AMOUNT $ 1001 (Changed Line Item) Option Year: 22 September 2009 - 21 September 2010 Monthly Status Reports Quantity 12 Qty 1.00 Unit LO Unit Price $1,549,100.00 Amount $1,549,100.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $1,549,100.00 Period of Performance: 09/22/2009 to 12/21/2010 1002 (Changed Line Item) Project Management Plan for Tasks 3.a.1 - 3.a.12 Quantity 12 Qty 1.00 Unit LO Unit Price $4,759,300.00 Amount $4,759,300.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $4,759,300.00 Period of Performance: 09/22/2009 to 12/21/2010 1003 (Changed Line Item) Research Report for Tasks 3.a.1. - 3.a.12 Quantity 12 Qty 1.00 Unit LO Unit Price $2,870,600.00 Amount $2,870,600.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $2,870,600.00 Period of Performance: 09/22/2009 to 12/21/2010 1004 (Changed Line Item) Comprehensive Integrated Threat Assessment Qty 1.00 Unit LO Unit Price $220,200.00 Amount $220,200.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $220,200.00 Period of Performance: 09/22/2009 to 12/21/2010 1005 (Changed Line Item) Travel Qty 1.00 Unit LO Unit Price $36,700.00 Amount $36,700.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $36,700.00 Period of Performance: 09/22/2009 to 12/21/2010 1006 (Changed Line Item) Other Direct Costs Qty 1.00 Unit LO Unit Price $2,494,610.00 Amount $2,494,610.00 Accounting and Appropriation Data: ACRN: AB [continued on next page] PAGE 2 OF 3 Unclassified [PAGE 3] Unclassified SCHEDULE Continued ITEM NO. | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE $ | AMOUNT $ [continuation of item 1006 Accounting and Appropriation Data] 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $2,494,610.00 Period of Performance: 09/22/2009 to 12/21/2010 1007 (Changed Line Item) Additional Travel Qty 1.00 Unit LO Unit Price $18,300.00 Amount $18,300.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $18,300.00 Period of Performance: 09/22/2009 to 12/21/2010 1008 (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 Qty 1.00 Unit LO Unit Price $0.00 Amount $0.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $0.00 1009 (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 0002 from PR Qty 1.00 Unit LO Unit Price $0.00 Amount $0.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $0.00 PAGE 3 OF 3 Unclassified [PAGE 4] Cover Page Security Clasaification Document; POOODS | POOONS Document Classification: Unclassified [PAGE 5] [Department of Defense seal] CONTRACT DIRIBUTION LIST [sic, i.e. "DISTRIBUTION"] VIRGINIA CONTRACTING ACTIVITY Building 6000, Bolling AFB Washington, D.C. 20340-5100 DATE: 29 Sep 2010 PIIN: HHM402-08-C-0072 Delivery Order /Task Order: [blank] MOD: P00005 REQ: Admin Mod CS: [blank] KO: [Redacted: (b)(3):10 USC 424, (b)(6)] TO: | COPY SENT | ADDRESS | NO. OF COPIES 1. Contractor Stamp the copy— "Duplicate Original Contractor Copy" X Bigelow Aerospace Advanced 4640 S. Eastern Ave Las Vegas, NV 89119 AAP Person 4 1 2. Payment Office NSA X 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) [Redacted: (b)(6)] 1 4. COR/POC X [Redacted: (b)(3):10 USC 424, (b)(6)] 1 5. DIFE Representative X [Redacted: (b)(3):10 USC 424, (b)(6)] 1 6. Report Copy DD-350 X AE-2A 1 7. Contract File (Original) X D.O. File 1 8. Other [blank] COPIES: TOTAL NO. 7 DISTRIBUTION COMPLETED: [Redacted: (b)(3):10 USC 424, (b)(6)] (Signature) 9-29-10 (Date)