Mod_0034_signed.pdf

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Signed modification

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(x)

HHSF22301001T

x HHSF223200950007I 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 ACKNOWLEDGEMENT 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.

See Schedule

1503869

LEIDOS INNOVATIONS CORPORATION 1503869

ROCKVILLE MD 20857

DITA

ROOM 2081, HFA-500

5630 FISHERS LANE

ATTN: Justin Cole 240-402-7579

DHHS/FDA/OAGS/DITA

ROCKVILLE MD 20857

DITA

ROOM 2081, HFA-500

5630 FISHERS LANE

ATTN: Justin Cole 240-402-7579

DHHS/FDA/OAGS/DITA

07/17/20180034

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

09/20/2013

Attn: Danielle Price

700 N FREDERICK AVE

GAITHERSBURG MD 208793328

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

FAR 16.505(b)(2)(i)(B) x

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

X

Tax ID Number: 81-1219786

DUNS Number: 080272605

Invoice Two-Way Procedures

Contracting Officer Representative (COR): Jeffrey Solar

The purpose of bilateral modification 0034 is to:

1) Increase the total DME ceiling on CLIN 15 by $42,000,000 from $108,000,000 to

$150,000,000 as approved by the Justification and Approval dated July 16, 2018.

2) Increase the remaining undefinitized DME ceiling value on CLIN 15 by $42,000,000 from

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Sherry E. Solodkova

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

bosakr Typewritten Text Rob Bosak, Associate Director of Contracts bosakr Typewritten Text 7/19/18

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

LEIDOS INNOVATIONS CORPORATION 1503869

(A) (B) (C) (D) (E) (F)

HHSF223200950007I/HHSF22301001T/0034

$299,881.89 to $42,299,881.89.

All other terms and conditions remain unchanged.

Delivery Location Code: FDA/OO/OIMT/OIM

FDA/OO/OIMT/OIM

11601 Landsdown Street

North Bethesda MD 20852 US

Payment:

FDA PAYMENT SVCS

Attn: Vendor Payments, OFS FDA

10903 New Hampshire Avenue

Bldg 32, Rm 2162, Mail Hub 2145

Silver Spring MD 20993-0002

FOB: Destination

Period of Performance: 09/25/2013 to 09/24/2019

Change Item 15 to read as follows(amount shown is the obligated amount):

15 As a result of modification #34, the 0.00 undefinitized DME ceiling value is increased by

$42,000,000 from $299,881.89 to $42,299,881.89.

No funds shall be obligated until definitization.

The labor schedule for undefinitized DME is located in Section 21 of the Task Order.

Amount: $42,299,881.89(Option Line Item)

09/24/2018

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

2018-07-19T09:49:23-0400
robert.j.bosak@leidos.com
2018-07-19T16:15:44-0400
Sherry Solodkova -S

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