DOW-UAP-D114, Modification de contrat P00003 de l’AAWSAP, mai 2010

[PAGE 1] DATE: 18 May 2010 PITIN: HHM402-08-C-0072 Delivery Order /Task Order: CONTRACT DIRIBUTION LIST VIRGINIA CONTRACTING ACTIVITY Building 6000, Bolling AFB Washington, D.C. 20340-5100 MOD: P00003 REQ: Admin Mod CS: KO:[OC 0 UST 727 CIE) prc NO. OF TO: . ADDRESS: COPIES 1. Contractor Bigelow Aerospace Advanced Stamp the copy— x 4640 S. Eastern Ave 1 “Duplicate Original Vegas, NV 89119 Contractor Copy" AAP Person 4 | 2. Payment Office NSA FINANCE AND ACCOUNTING OFFICE 1 P.O. Box 1685 ATTN: DF2211 NSA FT George Meade, MD 20755-6000 x Phone: 410-854-7657 & 410-854-8742 (for Invoice status) | NIPR: jl : (for Invoice status) | 4. COR/POC (bya) 10 USC 424. (OO) | x 1 _5. DI FE Representative | x ] 6. Report Copy DD-350 X AE-2A 1 7. Contract File x D.O. File 1 (Original) 8. Other COPIES: TOTAL NO. 7 Wye) 10 USC 424, (KG) DISTRIBUTION COMPLETED: | 5- If- 0 (Date) [PAGE 2] AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT |" CONTRACT? CODE ae { 2 2. AMENDMENT/MODIFICATION NO, 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (if cal P00003 MAY 18, 2010 & ISSUED BY CODE HHQ402 7, ADMINISTERED BY (if other than Item 6) cope ZD50 Virginia Contracting Activity Virginia Contracting Activity ATTN: AE-2 ATTN: DIAC, AE-2 Bolling AFB, Bidg. 6000 Building 6000 Washington DC 20340-5100 Washington DC 20340-5100 f(OX(3):10 USC 424, (b)(6) 8. NAME AND ADDRESS OF CONTRACTOR INO., street, county, State and ZIP Code} (X) | 94. AMENDMENT OF SOLICIATION NO. BIGELOW AEROSPACE ADVANCED SPACE STUDIES, DUNS: 827037768 LLC Cage Code: 54JU7 4640 S EASTERN AVE 9B, DATED (SEE ITEM 11) LAS VEGAS NV 891196135 10A. MODIFICATION OF CONTRACT/ORDER NO. HHM402-08-C-0072 10B. DATED (SEE ITEM 13) CODE 00000434 | FACILITY CODE SEP 22, 2008 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS Cc] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers CJ is extended, C] 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 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. CHECK ONE > xX 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). C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: DO. OTHER (Specify type of modification and authority) E. IMPORTANT: Contractor [x] is not, Cl 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) int) (b)(3):10 USC 424, (b)(6) 15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16C. DATE SIGNED {Signature of person authorized to sign) th S- / & - / 0 NSN 7540-01-152-8070 STANDARD FORM 30 (rev. 10-83) Previous edition unusable Prescribed by GSA FAR (48 CFA) 53.243 [PAGE 3] Cover Page Sacurity Classification Document: POOOG3 | POOGG3 COR Change Document Classification: Unclassified