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LLC X AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 11.CONTRACTIDCODE r~or~a I 4. REOUIS1TION/PURCHASE REO. NO. r;, PROJECT NO. IN ,pp11c111e1 2. AMENDMENT/MODIFICAllON NO. 3. EFFECTIVE DATE 1 P00005 SEP28, 2010 7. ADMINISTERED ff( Ill olher thin Item IJ 6. ISSUEDBY COOE HHQ402 CODE Z050 Virginia Contracting Activity Virg Iola Contracting ActMty ATTN: DIAC, AE-2 ATTN: AE-2 Bolling AFB, Bldg. 6000 Building 6000 Washington DC 20340-5100 Washlnaton DC 20340-!100 j (b)(3):10 USC 424 , (b)(6) I IX) 9A. AME.NDMENT OF SOUCIATION NO. .....- - D .e'ioEtowAffisp,(ce AovANc e·o·s;;,.ce·sttoi.rs'.Zlo=: 827037788 Cage Code: 54JU7 118. DATED ($EE ITEM 1 l) 4640 S EASTERN AVE LAS VEGAS NV 891196135 1 OA. MODIFICATION OF CONTR4CT/Om1ER NO. HHM402-08-C-0072 ,c 108. DATED IIEE ITE~ II) SEP22, 2008 CODE 00000434 IFACtllTY COOE 1l. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS 0 The ebove numbtted toi c:ilellon It ■ mended II ut 101111 In Item 14, Thll hour I/Id dale epedllecl for receipt ol OH« ■ □ It tlCIMded, □ la not eJCltnded, Offer• mutt tclcnawtedge receipt Of \hill "'"""dmenl prta, to lht hour ,nd dt11 tpeclfled In lhtl ldlcllltlon Of u emended, by one Of lht fCIIOwing metlloclt: (1)8y compl1tlng "- 6 MCI 16, and ••tumlnu __ copltt Of 1111 tmaldme~t !bl 8y 10\nowtlldg!IIIJ rect1111 of lhls amenclffltnt on uc:h copy Of lh■ olf111ubrnltttd1 ot le) By HJMtall lett.r or telegram which Includes• ref,,- to llll aolicilallon Ind tmtndrntnt number,. FAILURE OF YOUR ACltNOWI.EDOMENT TO BE RECEIVED AT TK'E Pl.ACE DESIGNATED FOR TH£ RECEIPT OF OFFERS PRIOR TO THE HOUR ANO DATE SPECIFIED MAY RESUL T IN REJECTION OF YOUR OFf:EII. II by Ylrt111 ol lhll lmlndrnent your dalre 10 clta,gt an oll« alreecly ■ubmlttad , 11..ch ch.age may bt mede tty ttltg, ■m or lmlr, p,O\'lded ucll tel1gr1m or lltttr rnlkt■ ,.,,,._ to 11,t •~leittllon tnd 0,1, 1mer11f1111nt. end 11 rectlved prior to the opening hotir a/Id dlle apeciffed. 12. ACCOUHTINGAHD~TIONDATA(ll'"'llf-..0) Modification Amount: $0.00 See Schedule Modlflcatlon Obligated Amount: $0.00 13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTAACTS,IOROERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. CHECK ONE A. THIS CHANOE ORDEl'I IS ISSUED PURSUANT TO: 15plcl!y IUlhori1VI M CHANOES SET FORTH l"I ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A. 8. THE ABOVE NUMBEIIEO CONTRACT/ORDER IS MODIFIEO TO REFLECT THE ADMINISTRATIVE CHANGES (iuc:h • ch111911 In paying ollkl•, 1pp,oocl1tlon d ■ te, elc.l SET FOIITll IN ITEM 14, PURSVANT TO THE AUTHORITY Of FAA 43.1031b). C. THIS 8UPPl.£MINT/IJ. AOREE MENT 18 ENTERED INTO PURSUANT TO AVTHOAITY OF: Mutual Agreement 0. OTHER (Splefly type ol modlflc:1d1111 end tuthorily) E. IMPORTANT: Contractor D ia not, GJ Is required to 1lgn thl1 document and return cople1 to the lnulng office. 14. DESCRIPTION OF MIEND~tENTIMODIFlCATION (°'91Qlncl byUCF MC11on ~•. lricluding tollcilatlonlcionltac:1 ■ubJecl mtllef Vtfltlt ltaslb!t.) The purpose or thla modincatton Is lo accompllah the rollowtng: a) Bilaterally extend the POP from 09/22/2010 to 12/21/2010. b) PertUant to FAR clause 52.217-8 Option to Extend Services, this conlfi,ct ta extended from 09122/2010 TO 12/21/2010. c) No funding 11 required for this extension. No other changes are made as a result or this modlftcalion. Exe I ttrms and conlfilm ■ of the dOCll'lllnt Nlftttnced in l!tm 9A Of 1 18C. DATE S IGNED SEP 28, Z010 NSN 7ti40-01-112-8070 Prtvlou1 edition Ullllft~I•
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· ~ · ITliMNO. 1001 1002 1003 1004 1005 ,006 _ ........ Untfi!lnlfied SCHeDULE Contlnuecl IIUPPUUIISVIVICES ·--·- - (Changed Line Item) OpUon Year; 22 September 2009 • 21 September 2010 Monthly Stalus Reports Quantity 12 Accounting and Approprialion Data: ACRN: AB 9700100.4400 1102A9 25201 S49205 CCXX 16P101T1 1106 610000 $1,549,100.00 Period of Performance: 09/22/2009 lo 12/21/2010 (Changed Lino Item) Project Management Plan for Tasks 3.a.1 • 3.a.12 Quanlity 12 Accounting end Approprialion Data: ACRN: AB 9700100.4400 1102A9 25201 649205 CCXX 16P101T1 1106 610000 $4,759,300.00 Period or Performance: 09/22!2009 to 12/211201 a (Changed Line Item) Research Report for Ta$ks 3.a.1. -3 .a.12 Quantity 12 Aceounling and Appropriation Data: ACRN: AB 9700100.4400 1102A9 25201 649205 CCXX 16P101T1 1106 610000 S2,870,600.00 Period of Pertormance: 09/22/2009 to 12/21 /2010 (Changed Lina Item) Comprehensive ln!$graled Threat Assessment A~ounling end Appropriation Data: ACRN: AB 9700100,4400 1102A9 25201 $49205 CCXX 16P101T1 1106 610000 $220,200.00 Period of Performance: 09/22/2009 to 121211201 o (Changed Line Item) Travel Accounllng and Appropriation Data: ACRttAB 9700100.44001102A9 25201 S49205 CCXX 16P101T1 1106 610000 $36,700.00 Period of Performance: 09/22/2009 to 12/21/2010 (Cl1angad Line Item) Other Direct Cost, Accounting end ApProprial!on Dal.a: ACRN:AB LO LO LO 220,200.00 36,700.00 2,494,610.00 .. 220,200.00 36,700.00 2,494,610.00 .. _ ,_ ·- PAGE2 OF 3 Unc!assflled QI/ANfflY 1.00 1.00 1.00 1.00 1.00 1.00 - · Ul/17 LO LO LO UHIT PRICE ' 1,549,100.00 4,759,300.00 2,870,600.00 AMOUNTS 1,549,100.00 4,759,300.00 2,870,600,00 l
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COJ'iTRACT DIRIBl.:TION LIST Vl'RGINlA CONTRACTING ACTIVITY Building 6000, Bolling AFB Washington, D.C. 20340-5100 DATE: 29Scp20l0 PIIN'. HHM402-08-C-0072 Delivery Order /Task Order: MOD: POOOOS REQ: Admin \1od CS : Ko: ""'l !b '"H3"'" > .,.,10""o•s""c-,,i 42""4... _c6 ""' >t ,.,6l ,......_______ TO: / I. Contractor Stamp the copy "Duplicate Original Contractor Co " 2. Payment Office NSA 4. COR/POC 5. DI FE Representative 6. Report Copy DD-350 7. Conlract Fi le (Original) 8. Other COPrr~ s: Bigelow Aerospace Advanced 4640 S. Eastern Ave ) i;~:- _ ~ _ :~. "7:;~-·- • i- , _ ':." -~ ... . - .. -.. ' :·:-:-.·· ·. ~ ~ ~ - .-~ - ~:I:. X Las Ve as. >TV 89119 AAP Person 4 ~SA FINAKCE A"ID ACCOUNTING OFFICE P.O. Box 1685 A'fTN: Df221 l FT George Meade, MD 20755-6000 X Phone: 410-854-7657 & 410-854-8742 {for lm1okcstatus) -. t I - (fur Invoke status) I X (b)(3):10 USC 424, (b)(6) X I\E-2A X D.O. File X TOTAL = O. (b)(3):10 US DISTRIBUTION COMP! .ETED: ( 1gnature 1 1 7