AAWSAP UFO contract modification P00003 (2010)

[PAGE 1] CONTRACT DIRIBUTION LIST [sic, as printed] 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: [blank] MOD: P00003 REQ: Admin Mod CS: [blank] KO: [redacted box, "(b)(3):10 USC 424, (b)(6)"] TO: / COPY SENT / ADDRESS / NO. OF COPIES table: 1. Contractor. Stamp the copy— "Duplicate Original Contractor Copy". COPY SENT: X. ADDRESS: Bigelow Aerospace Advanced, 4640 S. Eastern Ave, Las Vegas, NV 89119 [redacted box: "AAP Person 4"]. NO. OF COPIES: 1. 2. Payment Office NSA. COPY SENT: X. ADDRESS: 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 block: "(b) (6)"]. NO. OF COPIES: 1. 4. COR/POC. COPY SENT: X. ADDRESS: [redacted box, "(b)(3):10 USC 424, (b)(6)"]. NO. OF COPIES: 1. 5. DI FE Representative. COPY SENT: X. ADDRESS: [same redacted box continues]. NO. OF COPIES: 1. 6. Report Copy DD-350. COPY SENT: X. ADDRESS: AE-2A. NO. OF COPIES: 1. 7. Contract File (Original). COPY SENT: X. ADDRESS: D.O. File. NO. OF COPIES: 1. 8. Other. [blank] (Note: item 3 is absent from the printed list; numbering jumps from 2 to 4 in the original form.) COPIES: TOTAL NO. 7 DISTRIBUTION COMPLETED: [redacted box, "(b)(3):10 USC 424, (b)(6)"] 5-18-10 (Date) [PAGE 2] AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE: [blank] PAGE OF PAGES: 1 2 2. AMENDMENT/MODIFICATION NO.: P00003 3. EFFECTIVE DATE: MAY 18, 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 7. ADMINISTERED BY (if other than Item 6) CODE ZD50: Virginia Contracting Activity, ATTN: DIAC, AE-2, Building 6000, Washington DC 20340-5100 [redacted box: "(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, 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. [as printed]: [blank]. 9B. DATED (SEE ITEM 11): [blank]. 10A. MODIFICATION OF CONTRACT/ORDER NO.: HHM402-08-C-0072 [marked 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 you 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. [unchecked] B. [X, checked] 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). C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: [blank, unchecked]. D. OTHER (Specify type of modification and authority): [blank, unchecked]. E. IMPORTANT: Contractor [X] 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: [redacted box, "(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): [blank]. 15B. CONTRACTOR/OFFEROR (Signature of person authorized to sign): [blank]. 15C. DATE SIGNED: [blank]. 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print): [redacted box, "(b)(3):10 USC 424, (b)(6)"]. 16C. DATE SIGNED: 5-18-10 [handwritten]. NSN 7540-01-152-8070. Previous edition unusable. STANDARD FORM 30 (REV. 10-83). Prescribed by GSA FAR (48 CFR) 53.243 [PAGE 3] Cover Page Security Classification Document: P00003 | P00003 COR Change Document Classification: Unclassified