B3

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT I' CONTRACT 10 CODE IPAG1E 01 PAGES

I

2 AMENDMENT/MODIFICATION NO 3 EFFECTIVE DATE 4 REQUISITIONiPURCHASE REO NO 15 PROJECT NO (If appHcable)

00C004 See Block Ice

6 ISSUED BY CODE KSC 7 ADMINISTERED BY (/I other than Item 6) CODE IKSC

NASA/John F. Kennedy Space Cen er NASA/Kennedy Space Center

Office of Procurement: Office of Procurement

Mail Code OP-t1S Mail Code OF-i'lS

Kennedy Space Center FL 32899 Kenr.ec:iy Space Center FL 32899

8 NAME AND ADDRESS OF CONTRACTOR (No $t~et county Slate.Joo Z(PCodeJN

9A AMENDMENT OF SOLICITATION NO

OEDlG

700 Bll.Y ARE.Zl. BL\ID 9B DATED (SEE ITEM 11)

OUSTON TX 77058-3661

X lOA MODIFICATION OF CONTRACT/ORDER NONNKI4Mfl.75C

lOB DATED (SEE ITEM 13)

CODE 03S!53 FACILITY CODE 09/:'6/2014

H

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

::JThe above numbered solicitation is amended as set fonh in Item 14 The hour ana dale specified for receipt of ONers IS extended Ois not extendedONers must acknowledge receipl of this amendment prior to the hour and date specified In the soacuauon or as amended. by one of the follOWing methods (aJ By completing

Items 8 and 15. and reluming copres of the amendment. Ib) By acknowledging receipt of this amendment on each copy of the oNer subrnmeo . or (c) By

separate tetter or telegram wtucn includes a reference 10 Ihe sohcuanon and amendment numbers FAILURE OF YOUR ACKNOVvtEDGEMENT 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 oNer already submitted . such change may be made by telegram or leiter. provided each telegram or leiter makes

reference 10 the solicitation and this amendment and is received prior 10 the opemng hour and date speCified12 ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM ONLY APPUES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACTIORDER NO. AS DESCRIBED tN ITEM 14.

CHECK ONE

B THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFtED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes In pa}'lng office.appropriahOn dare. e/c) SET FORTH IN ITEM t4. PURSUANT TO THE AUTHORITY OF FAR 43 103(b)

A THIS CHANGE ORDER IS ISSUED PURSUANT TO (Specify aufhority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACTORDER NO.IN ITEM lOA.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF

D. OTHER (SpeCify type of modification and au/hanty)

X Bilateral mcd i f Lc a t i on issued pu r su e n t to NFAR 18~5.1(H:~ lid (2), Transferring Acc oun t ab Ll.i t y

E. IMPORTANT: Contractor~.wlsnot. IF: is recuirec to sign this document and return copies to the issuing office

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF secnon headings including sa/icilahOnJcon/rac/ subject maner where feasible )

The purpose of this bilateral modi fica ion is 0 add he Drill Plate Tunnel Assy w/tool kit

(P/N DRPSDZ29101974-5001/SDDZX29101974-5003) as Government Furnished ?roperty under this

cont:ract.

Clause G.6 NFS 1652.245-76 LIST OF GOVERti-1ENT ROPERTY FURNISHED PUR Ijp.t-:T TO FA.? 52.245-l.

(JAN 20:1) 's =evised t:o add Jrill P a e Tunr.el Assy w/ 001 ki • The Jril: Plate ~unnel

Assy w/t:ool kit is required to be returned to th~ Governrr.ent cr. or before December IS, 2015.

Paymen: Terms:

Net 15 days

E:xcept as prOVided herein, all terms and conditions of the document referenced In Item 9 A or lOA as heretofore changed, remains unchanged and In full force and effect

12/1S-( 1'116B UNITED STATES OF AMERICA 16C DATE SIGNED

15A NAME AND TITLE OF SIGNER (Type or pnn/) 16A NAME AND TITLE OF CONTRACTING OFFICER (Type orprin/l

De/x)(C.-l () Oaul·~Lkjy((C;t- !'lz.hl,tl·(1ISlYc.:t1ot.... Roge':'L Curiel

15DEC2or4

15C DATE SIGNED

NSN 7540-01·152·8070

Previous edition unusable

STANDARD FORM 30 (REV 10·83)

Prescribed by GSA

FAR (48 CFR) 53243

Modification 004

may be approved by the Contracting Officer. Under FAR 52.245-1 (Alt I), the Contractor isaccountable for the identified property.

Part Number

Description (Docking Adapter Kit Acquisition Quantity AvailableDocking Adapter Value Date

Assembly)NASA Docking System 683 -100100-0001

Block 1 (NDSB 1) $14,000,000 1 02/2016Flight Unit 1 683 -100000-0001

NDSBI 683 -100100-0001 $14,000,000 1 04/2016Flight Unit 2 683 -100000-000 1

NDSBI 683 -100100-0001 $14,000,000 0 0612016Flight Unit 3 683 -100000-0001

NDSBI 683 -100100-0001 $14,000,000 0 08/2016Flight Unit 4 683 -100000-000 1Drill Plate Tunnel Assy DRPSDZ29101974-500

wltool kit* 1/SDDZX29101974-500 $24,621.16 1 12/20143

The Government understands that the NDSB 1 Flight Units may be consumed in performance ofthis contract.

*The Drill Plate Tunnel Assy wltool kit is required to be returned to the Government on or beforeDecember 15, 2015.

(End of Clause)

G.7 NFS 1852.245-78 PHYSICAL INVENTORY OF CAPITAL PERSONALPROPERTY. (JAN 2011)

(a) In addition to physical inventory requirements under the clause at FAR 52.245-1, GovernmentProperty, as incorporated in this contract, the Contractor shall conduct annual physical inventoriesfor individual property items with an acquisition cost exceeding $100,000.

(1) The Contractor shall inventory -

(i) Items of property furnished by the Government;

(ii) Items acquired by the Contractor and titled to the Government under the clause atFAR 52.245-1;

(iii) Items constructed by the Contractor and not included in the deliverable, but titled tothe Government under the clause at FAR 52.245-1; and

NNK14MA75C - Commercial Crew Transportation Capability (CCtCap) Contract

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Modification 004

(iv) Complete but undelivered deliverables.

(2) The Contractor shall use the physical inventory results to validate the property record data,specifically location and use status, and to prepare summary reports of inventory as described inparagraph (c) of this clause.

NNK 14MA 75C - Commercial Crew Transportation Capability (CCtCap) Contract

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