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CONTRACT DIRIBUTION LI ST VIRGINIA CONTRACTING ACTIVITY Building 6000. Bolling AFB Washington, D.C. '.?0340-5100 DATE: 01 r eh:!01 0 PITN: I II 11\l-to2-08-C-0072 Delivery Or<ler ff ask Order: MOD: P00002 RE~ · 651-0003-1 O CS: ~ m 10 U se 4". !bi/ill KO: _ COPY NO.OF SENT COPlES ADDRESS: TO: Higdo\\" ,\cruspacl! \d,~m,cd Stamp the copy I . Contractor -t6-«> .. Ll!>l\.·m ,\H! X I m, \ \.'g.t~. '-!V 89119 " Duplicate Original Robert ·1 13igdtm 702~56-1606 Contractor Co " NSA FfNANCE AND ACCOUNTING OFFICE 2. Payment Office P.O. Box 1685 ATTN: DF22I I FT George Meade, MD 20755-6000 NSA X Phone: 410-854-765 7 & 4 l0-854-8742 (rnr 111, olcc ,1:11u ~J (for 111, nict ,1:111") 4. COR/POC X 5. DI FE Representat ive X 6. Report Copy DD-35 0 AE-2A X 7. Contract File D.O. File X (Ori inal) 8. Other COPIES: TOTAL NO. UI~ I Kltl U noN COMPLETED: ~- lf- ID (Date) 7
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1 I I CONTRACT 10 CODE rAGEiP~~S AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT ' 1 2, AMENDMENTIMOOIFICATION NO, 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REO. NO. 1 5 .PROJECT NO. 111 eppll<ble) P00002 1 FEB 02, 2010 651-0003-10 O. ISSUEO BY CODE HHQ402 7, AOMINISTEREO BY tll 01h1r \hon llem 61 COOE Z050 Virginia Contracting Activity Virginia Contracting Activity ATTN: AE-2 ATTN: D!AC, AE-2 Bolling AFB, Bldg. 6000 Building 6000 Washinqton DC 20340-5100 Washington DC 20340-5100 l (O)p):10 USG 424, (0)(5) I w . w• ... , ....... -·· II tXI ,..._ 9A, AMENOWENT Of SOLICIATION NO BIGELOW AEROSPACEADVANCED SPACE STUDIES, DUNS: 827037768 LLC Cage Code· 54JU7 98, DATED ISEE ITEM 111 4640 S EASTERN AVE LAS VEGAS NV 891196135 IOA. MODIFICATION OF CONTRACT/ORDER NO, HHM402-08-C-0072 IC 108. DATEO {SEE ITEM 1;) CODE 00000434 IFACILITY CODE SEP 22, 2008 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS D The ebo\/e numtiered s<1lichadcn fs ,mended as stt fcn.h in 11,m 14, Tho hour ond dote specified for rectlp, cf Offtfl O 1 enel'lded. 0 is not &.>I.tende d. Olle•• must 1<lulowltdgo 1oc:elp1ol \his omendmon1 l)!lor 1 0 lht hour snd dale sptcll led In 1ho1ollcl1a~on OI H a111•nded, by 0111 ol tilt follo""ng tnclhods: (al8y comple1,ng ilem1 e end 15, and rc,vrn;ng COPI.. ol 1hl amendment; (bl 8y 1ckoowlodg;ng rtetlpl ol lhll 1mendmtn1 on each <oPY ol 11\e oiler submlntd; or (cl 8v uparaoe lttt•r or 1tleg1"" wl,lch lnclydoii'i'iiiitnce 10 1ht 1ollcl11rion and amtndmtnt numbe11, FIIILURE OF YOUR ACKNOWI.EDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIM' OF OfFERS PRIOR TO THE HOUR ANO DATE SPECIFIED MAY RESULT IN REJECflON OF YO~A OFFER. II by vlrM of 1ro11mendmfn1 your desir• to change en otf1r a1readv 1ubmltted, 1ucn eh1ngt m1v bt made by teiogram or lene,, provided eech udeg,em or letter makes reference to tha sollcfutlon end It~• amendment, Gl\d Is ,1r:tived p,ior 10 the opening hour i nd dete ;pecltltd. 12, ACCOVNTIHG Al'lll APPROPIAl~N OMA (lttoqvlrtOI Modification /\mount: $ 11 ,948,810.00 See Schedule Modification Obligated Amount: $ 11,948,810,00 13. THIS ITEM ONLY APPLIES TQ 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: ISpec1ly 1U1h0tltyl THE CHANOES SET FORTH IN ITEM 14 ARE MAOE IN THE CONTRACT Ol!OER NO, IN ITEM 10A 8, THE A8011E NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT Tl-'E ADMINISTRATIVE CHANGES 1,uc:h II changes In pay,ng ornc,, 1pp,oprl1~on d11e, t1C,l SET FORTH IN ITEM 14, PURSUANT TO 1HE AUTHORITY OF FAR 43, 1031bl. X C, THIS SUPPLEMENTAL AGREEMENTIS ENTERED INTOPURSUANT TO AUTHORITY OP: FAR 52.212-4(c) Changes Mar 2009 0 , OTHER ISpoc,I)' IY!a ol modltlc11ion 1nd authority\ E. IMPORTANT: Contractor O is not, 0 is required to sign this document and return 14, DESCRIPTION OF AMENOMENTIMOOIFICATION (Organlud by UCF secllon hta(llngs, lncU1ln9 ,ollclla\lon/oonlrad tut)oci manerwhtre l1ulbl1.) The purpose of this modification Is to accomplish the following: a) Provide funding in the amount of $11,948,810.00 for lhe Exercise of Option Year I of Contract HHM402-08-C-0072 and thereby removing the availability of funding clause referenced in modification P00001 did 9/02/09. b) Identify Impacts to deliverables as a result of reduced funding for Option Year 1, (see attachment) c) lncorporale \he revised documentation showing utillza\/on of 2010 funds and identify technical risks of reduced funding, d) The obligated funding for Contract HHM402-08-C-0072 is Increased by $11,948,810.00. As a result, the total obligated amount for this contract Is $21,948,810.00. All other terms and cond1\1ons remain unchanged. ..... • "u ..,.,,io, 1 ouns ot ine cccumcr.t rtf•rencwJ in hem 9A a, 10A I hCHeI0for nged. ,en,1lr'!S ul'\th.Mrvo,t ..rvt ;"' ,.,u 1 ,....... ~ .,u.... Ml!:fJ fT, ,-- •• -••-•• (6) 5C, DATE SIGNED 6C. D~TE SIGNED ~j;o NSN 7540-01-162·8070 30 IREV. 10-831 Previous edition unuu ble 8 CFRI 53.243 copies to the i&suing office. - Page 3born-digital extraction
LLC X PAGE OF PAGE5 .:T ID CODE AMENDMENT OF SOLICITATIO,,,,..JIODIFICATION OF CONTRACT l,.coi I 1 I • 4. REQUISITION/PURCHASE REG. NO. 15. PROJECT NO. 111 applicblel P00002 FEB 02, 2010 2. AMENDMENT/MODIFICATlON NO. 3. EFFECTIVE DATE 651-0003-10 1 7. ADMINISTERED BY Ill other than Item 61 6 . ISSUED BY CODE HH0402 CODE 2050 Virginia Contracting Activity Virginia Contracting Activity ATTN: AE-2 ATTN: DIAC, AE-2 Bolling AFB, Bldg. 6000 Building 6000 Washington DC 20340-5100 Washington DC 20340-5100 lfbll::Sl:10 LJ.S.C. 6 424 (bllbl I 8. NAME AND ADDRESS OF CONTRACTOR !No., street, county, State and ZIP Code) 9A. AMENDMENT OF SOLIC:IATION NO ~ BIGELOW AEROSPACE ADVANCED SPACE STUDIES, DUNS: 827037768 Cage Code: 54JU7 98. DATED !SEE ITEM 11 I 4640 S EASTERN AVE LAS VEGAS NV 891196135 10A. MODIFICATION OF CONTRACT/ORDER NO. HHM402-08-C-0072 ,c 108. DATED (SEE ITEM 13) SEP 22, 2008 CODE 00000434 IFACILllY CODE 11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS 0 The above numbe,ed solicilation is amended as set fonh In Item 14. The hour and date specified for receipt of Offers D is extended. 0 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: (alBy completing ,terns 8 and 15, and 1eturning copies of the amendment; (bl By acknowledging receipt of this amendment on each copy of the offer submined; or (cl By separate letter or telegram which includes a 1eference 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 ANO 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 ANO APPROPIATION DATA (If required) Modification Amount: $11 ,948,810.00 See Schedule Modification Obligated Amount: $11,948,810.00 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. B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.I SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.1031b). C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: FAR 52.212-4(c) Changes Mar 2009 D. OTHER !Specify type of modification and authority) E. IMPORTANT: Contractor D is not, 0 is required to sign this document and return copies to the issuing office. 14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings. Including solicllation/contract subject mailer where feasible.) The purpose of this modification is to accomplish the following: a) Provide funding in the amount of $ 11,948,810.00 for the Exercise of Option Year I of Contract HHM402-08-C-0072 and thereby removing the availability of funding clause referenced in modification P00001 dtd 9/02/09. b) Identify impacts to deliverables as a result of reduced funding for Option Year 1. (see attachment) c) Incorporate the revised documentation showing utilization of 2010 funds and identify technical risks of reduced funding. d) The obligated funding for Contract HHM402-08-C-0072 is increased by $1 1,948,810.00 . As a result, the total obligated amount for this contract is $ 21,948,810.00 . All other terms and conditions remain unchanged. Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore chanced, 1emains unchonoed and In full force and effect. 15A. NAME AND TITLE OF SIGNER !Type o, print) 16A. NAME AND TITLE OF CONTRACTING OFFICER !Type or print) r )(3):1 0 USC 424, (bJ(6) 1 15B. C0NTRACTOR/0FFER0R ISignoture of per~on authOrlU<l to ,,gnl 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA ISignotu,e of Contracting Officer) t 6C. DATE SIGNEO NSN 75<10-01-11)2-8070 STANDARD FORM 30 IAEV.10·831 Previous edition unusable Prescnbed by GSA FAR 148 CFRI 53.243
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Unclassified SCHEDULE Continued ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE S AMOUNT S 1001 (Changed Line Item) Option Year: 22 September 2009 - 21 September 2010 Monthly Status Reports Quantity 12 1.00 LO 1,549,100.00 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 09/21/2010 1002 (Changed Line Item) Project Management Plan for Tasks 3.a.1 - 3 .a.12 1.00 LO 4,759,300.00 4,759,300.00 Quantity 12 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 09/21/2010 1003 (Changed Line Item) Research Report for Tasks 3.a.1 . - 3.a.12 1.00 LO 2,870,600.00 2,870,600.00 Quantity 12 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 09/21/2010 1004 (Changed Line Item) Comprehensive Integrated Threat Assessment 1.00 LO 220,200.00 220,200.00 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 09/21/2010 1005 (Changed Line Item) Travel 1.00 LO 36.700.00 36,700.00 Accounting and Appropriation Data: ACRN:AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $36,700.00 IPeriod or Performance: 09/22/2009 to 09121/201 O (Changed Line Item) 1006 Other Direct Costs 1.00 LO 2,494,610.00 2,494,610.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 PAGE20F Unclassified
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Unclassified SCHEDULE Continued ITEM NO. SUPPLIES/SERI/ICES QUANTITY UNIT UNIT PRICE $ AMOUNT$ 1106 610000 $2,494,610.00 Period of Performance: 09/22/2009 to 09/21/2010 1007 (New Line Item) Additional Travel 1.00 LO 18,300.00 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 09/21/2010 1008 (New 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 1.00 LO 0.00 0.00 Accounting and Appropriation Data: ACRN:AB 9700100.44001102A9 25201 S49205 CCXX 16P101T1 1106 610000 $0.00 1009 (New 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 1.00 LO 0.00 0.00 Accounting and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106610000 $0.00 PAGE 30F Unclasslfled