DISCLOSURE / FILE
A May 18, 2010 Standard Form 30 modification (P00003) that changes the Contracting Officer's Representative on DIA contract HHM402-08-C-0072, the AAWSAP contract with Bigelow Aerospace Advanced Space Studies, at a modification value of $0.00.
DOW-UAP-D114, AAWSAP Contract Modification P00003, May 2010
A May 18, 2010 Standard Form 30 modification (P00003) that changes the Contracting Officer's Representative on DIA contract HHM402-08-C-0072, the AAWSAP contract with Bigelow Aerospace Advanced Space Studies, at a modification value of $0.00.
On May 18, 2010, the Virginia Contracting Activity at Bolling AFB, Building 6000, issued modification P00003 to contract HHM402-08-C-0072, the contract dated September 22, 2008 with Bigelow Aerospace Advanced Space Studies, LLC of Las Vegas that carried the Advanced Aerospace Weapon System Applications Program. The modification's single stated purpose is to name a new Contracting Officer's Representative, and that name is redacted under 10 USC 424 and FOIA exemption (b)(6). The form sets four limits on the COR's authority: guidance must stay consistent with the Statement of Work, cannot assign new work or change contract terms, cannot extend the period of performance, and cannot raise line-item quantities or total contract value. The modification amount and obligated amount are both $0.00, and the page 3 cover sheet marks the document Unclassified.
The purpose of this modification is to Change the COR designation on Contract HHM402-08-C-0072 in accordance with the terms below:p.2
1.Consistent with the Statement of Work for this Contract.p.2
2.Not constitute a new assignment of work or change the expressed terms, conditions, or specifications incorporated in this Contract.p.2
3.Not constitute a basis for extension to the period of performance or delivery schedule.p.2
c) All other terms and conditions remain the same.p.2
Modification Obligated Amount: $0.00p.2
BIGELOW AEROSPACE ADVANCED SPACE STUDIES, DUNS: 827037768p.2
MOD: P00003 REQ: Admin Modp.1
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CONTRACT DIRIBUTION LIST VIRGINIA CONTRACTING ACTIVITY Building 6000, Bolling AFB Washington, D.C. 20340-5100 DATE: 18 May 2010 PITN: HHM402-08-C-0072 Delivery Order /Task Order: MOD: P00003 REQ: Admin Mod CS: KO: """r""" X3 ):= u=sc =24_(bl<B,....------, ..,..10...,.., ,,... 4 .,....,,...,"""l ro: l. Contractor Stamp the copy "Duplicate Original Contractor Co " 2. Payment Office NSA 4. COR/POC 5. DI FE Representative COPY SENT X X X X ~DRESS: Bigelow Aerospace Advanced 4640 S. Eastern Ave V NSA FINANCE AND ACCOUNTING OFFICE P.O. Box 1685 ATTN: DF221 l FT George Meade MD 207 5 5-6000 Phone: 410-854-7657 & 410-854-8742 (for Invoice itatus) v (for Invoice status) ' ' I - (b)(3):10 USC 424, (b)(6) f NO~.OF COPIES 1 1 1 6, Report Copy DD-350 7. Contract File (Ori • al 8. Other COPIES: X X AE-2A D.O. File TOTAL NO. 1 l 7 (b)(3):10 USC 424, (b)(6) DISTRIB UTION COMPLETED: 5- lr- IIJ (Date)
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X / PAGE I PAG;s AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT ll . CONTRACTIOCOOE 1 P00003 1 MAY 18, 2010 2 . AMENOMENTIMODIFICATION NO. 3. EFFECTIVE DATE 4 . AEOUISITION/PURCHASE REO. NO . , 5. PROJECT NO. (If opplicblo) 6 . ISSUED BY COOE HHQ402 7. ADMINISTERED BY U1 other than Item 6! 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 l(b)(3):10 USC 424 , (b)(6) I 8 . NAME ANO ADDRESS OF CONTRACTOR (No .. street, coumy, State and ZIP Code) (XI 9A. 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. MODI FICATION OF CONTRACT/ORDER NO. HHM402-08-C-0072 I( 108. DATED (SEE ITEM 13) CODE 00000434 IFACILITY CODE SEP 22, 2008 11 . THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS D The above numbered solicitation is amended as set for1h In Item 14. The hour and date specified for receip1 of Offers D is extended , D is 001 extended. Offers must acknowledge receipt of this amendment prior to tho hour and date specified In the sollchatlon or as emended. by one of the fellowing methods: (a)By completing Items 8 and 15, and returning copies of the amendment; (bl By acknowledging receipt of this amendment on each copy of the offer submitted; or le) By separate letter or telegram which Includes a reference to tho solicitation and omendmen t 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 dosiro to change an offer already submi11cd, such change may be made by telegram or letter, provided each telegram or lotter makes roferenco to the solicita1ion and this arnondment. and is rocol vod prior to the oponing hour and date speci fied. 12. ACCOUNTING ANO APPROPIATION DATA (If required) Modification Amount: $0.QQ See Schedule 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 1OA . 8 . THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFI ED TO REFLECT THE ADMINISTRATIVE CHANGES (Ruch as changBS in paying office. appropriation date, etc .) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.1031b). C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORI TY OF: D. OTHER (Specify type of modification and authority! E. IMPORTANT: Contractor 0 is not, Dis required to sign this document and return copies to the issuing office. 14. DESCRIPTION OF AMENOMENT/MOOIFICATION (Organized by UCF section headings, Including sollcttatlon/conlracl 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 fo llowing individual is named as the Contracting Officer™s Representative: l(b)(3):10 USC 424 , (b)(6) I 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 CUN quantities or in the total contract value. c) All other terms and conditions remain the same. Exceot as Dfovided herein all terms and conditions of the document referenced in ltom 9A or 1OA as heretoforo ch&flQ&d remains unchanged and in full force and effect 15A . NAME AND TITLE OF SIGNER [Type or print) 16B. CONTRACTOR/OFFEROR (Signature of person authorized to sign! 15C. DATE SIGNED 1R4 111,j ..... c A.,,... ITI ~ (\I: rru,1· - a Ar - 1111,1, (b)(3):10 USC 424 , (b)(6) ~• ,re IT,•-- nr - ~ I) 16C. DATE SIGNrn - S-IKr/0 NSN 7540-01 -152-8070 STANDARD FORM 30 !REV. 10-83) Previous odhion unusable Proscribed by GSA FAR [48 CFR) 53.243
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Cover Page Security Classification Document: P00003 I P00003 COR Change Document C lassification: UncJassified
Concatenated page-by-page transcript. Born-digital pages came through pdf.js; scanned pages were transcribed by Claude vision OCR. Pages marked unreadable failed multiple OCR retries (heavy redaction, microfilm artifacts, or blank separators) and are kept in place for audit.
CONTRACT DIRIBUTION LIST VIRGINIA CONTRACTING ACTIVITY Building 6000, Bolling AFB Washington, D.C. 20340-5100 DATE: 18 May 2010 PITN: HHM402-08-C-0072 Delivery Order /Task Order: MOD: P00003 REQ: Admin Mod CS: KO: """r""" X3 ):= u=sc =24_(bl<B,....------, ..,..10...,.., ,,... 4 .,....,,...,"""l ro: l. Contractor Stamp the copy "Duplicate Original Contractor Co " 2. Payment Office NSA 4. COR/POC 5. DI FE Representative COPY SENT X X X X ~DRESS: Bigelow Aerospace Advanced 4640 S. Eastern Ave V NSA FINANCE AND ACCOUNTING OFFICE P.O. Box 1685 ATTN: DF221 l FT George Meade MD 207 5 5-6000 Phone: 410-854-7657 & 410-854-8742 (for Invoice itatus) v (for Invoice status) ' ' I - (b)(3):10 USC 424, (b)(6) f NO~.OF COPIES 1 1 1 6, Report Copy DD-350 7. Contract File (Ori • al 8. Other COPIES: X X AE-2A D.O. File TOTAL NO. 1 l 7 (b)(3):10 USC 424, (b)(6) DISTRIB UTION COMPLETED: 5- lr- IIJ (Date)
X / PAGE I PAG;s AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT ll . CONTRACTIOCOOE 1 P00003 1 MAY 18, 2010 2 . AMENOMENTIMODIFICATION NO. 3. EFFECTIVE DATE 4 . AEOUISITION/PURCHASE REO. NO . , 5. PROJECT NO. (If opplicblo) 6 . ISSUED BY COOE HHQ402 7. ADMINISTERED BY U1 other than Item 6! 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 l(b)(3):10 USC 424 , (b)(6) I 8 . NAME ANO ADDRESS OF CONTRACTOR (No .. street, coumy, State and ZIP Code) (XI 9A. 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. MODI FICATION OF CONTRACT/ORDER NO. HHM402-08-C-0072 I( 108. DATED (SEE ITEM 13) CODE 00000434 IFACILITY CODE SEP 22, 2008 11 . THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS D The above numbered solicitation is amended as set for1h In Item 14. The hour and date specified for receip1 of Offers D is extended , D is 001 extended. Offers must acknowledge receipt of this amendment prior to tho hour and date specified In the sollchatlon or as emended. by one of the fellowing methods: (a)By completing Items 8 and 15, and returning copies of the amendment; (bl By acknowledging receipt of this amendment on each copy of the offer submitted; or le) By separate letter or telegram which Includes a reference to tho solicitation and omendmen t 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 dosiro to change an offer already submi11cd, such change may be made by telegram or letter, provided each telegram or lotter makes roferenco to the solicita1ion and this arnondment. and is rocol vod prior to the oponing hour and date speci fied. 12. ACCOUNTING ANO APPROPIATION DATA (If required) Modification Amount: $0.QQ See Schedule 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 1OA . 8 . THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFI ED TO REFLECT THE ADMINISTRATIVE CHANGES (Ruch as changBS in paying office. appropriation date, etc .) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.1031b). C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORI TY OF: D. OTHER (Specify type of modification and authority! E. IMPORTANT: Contractor 0 is not, Dis required to sign this document and return copies to the issuing office. 14. DESCRIPTION OF AMENOMENT/MOOIFICATION (Organized by UCF section headings, Including sollcttatlon/conlracl 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 fo llowing individual is named as the Contracting Officer™s Representative: l(b)(3):10 USC 424 , (b)(6) I 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 CUN quantities or in the total contract value. c) All other terms and conditions remain the same. Exceot as Dfovided herein all terms and conditions of the document referenced in ltom 9A or 1OA as heretoforo ch&flQ&d remains unchanged and in full force and effect 15A . NAME AND TITLE OF SIGNER [Type or print) 16B. CONTRACTOR/OFFEROR (Signature of person authorized to sign! 15C. DATE SIGNED 1R4 111,j ..... c A.,,... ITI ~ (\I: rru,1· - a Ar - 1111,1, (b)(3):10 USC 424 , (b)(6) ~• ,re IT,•-- nr - ~ I) 16C. DATE SIGNrn - S-IKr/0 NSN 7540-01 -152-8070 STANDARD FORM 30 !REV. 10-83) Previous odhion unusable Proscribed by GSA FAR [48 CFR) 53.243
Cover Page Security Classification Document: P00003 I P00003 COR Change Document C lassification: UncJassified