AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT - NO. 15

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 06140494
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 5
• Document Creation Date: December 28, 2022
• Document Release Date: March 20, 2017
• Case Number: F-2011-01076
• Publication Date: February 17, 2010

Approved for Release: 2017/03/15 C06140494
OMB Approval 2700-0042
(b)(
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
I. CONTRACT ID CODE
PAGE OF
1
PAGES
I 4
2. AMENDMENT/MODIFICATION NO.
Modification No. 15
3. EFFECTIVE DATE
28 July 2010
4. REQULSMON/PURCHASE REQ. NO
None
5. PROJECT NO. (If apphcable)
6. ISSUED BY CODE
7, ADMINISTERED HY af other than Item 6) CODE
CIO/IMS Contracts
(b)(3)
Washington, D.C. 20505
8. NAME AND ADDRESS OF CONTRACTOR (No. Sfreet, counry, State and ZIP: Code)
Raytheon Systems Company
205 Van Buren Street Ste. 300
Herndon, VA 20170
(I)
9k AMENDMENT OF SOLICITATION NO.
9B. DATED (SEE ITEM II)
X
10k MODIFICATION OF CONTRACT/ORDER NO.
2010*0514416*000
Attn:
10B. DATED gm ITEM 13)
17 February 2010
CODE
FACILITY CODE
11. TIES ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
El The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers U is extended, fl 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:
(a) By completing Items 8 and 15, and returning one (1) copy 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 ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE
DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATA 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 data specified.
12. ACCOUNTING AND APPROPRIATION DATA gi required}
none
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
(i)
A.
THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE /N THE CONTRACT ORDER NO. IN ITEM 10A.
i
'V
B.
THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office appropriadon date, eta) SET FORTH IN
ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(6).
C.
THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUNT TO AUTHORITY OF:
D.
OTHER Specify type of modification and authority)
E. IMPORTANT: Contractor X is not, is required to sign this document and return n/a copy to the issuing office.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings. Including solicitallankontmd subject matter whereleasible.)
See Page 2-4
Except at provided hereto, an terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains and and is Rig force and effect.
15A. NAME AND TITLE OF SIGNER (Type or print)
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or prim)
I5B. CONTRACTOR/OFFEROR
(Signature ofpesson autharired to sign)
I5C. DATE SIGNED I 16E i INTITO STATFC OF AICA
BY
I6C. DATE SIGNED
27 July 2010
NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-
83)
PREVIOUS EDITION UNUSABLE Computer Generated Prescribed by GSA
FAR (48 CFR) 53.243
(b)(3)
b)(6)
(b)(3)
(b)(3)
(b)(3)
(b)(6)
Approved for Release: 2017/03/15 C06140494
Approved for Release: 2017/03/15 C06140494
UNCLASSIFIED
Page 2 of 4
Contract No. 2010*0514416*000
Modification No. 15
Raytheon Systems Company
152.204-721 Use of Facsimile Signatures (JUN 2002)
The Contract document may be executed in counterparts, each of which shall be deemed an
original, all of which together shall constitute one and the same instrument. Facsimile �
signatures will be regarded as authentic by all parties.
A. The purpose of Modification No. 15 to Contract No. 2010*0514416*000 is to
1. Incorporate Clause G-8. 152.245-714 Government Property and add the associated
attachments to Section J, and
2. Transfer the Government Property from Raytheon contract 2004*T902500*000 to the
current contract.
There is no change to the contract value, obligation, or period of performance.
The revised changes are as follows:
1. Clause G-7. 152.245-714 (Oct 2007) Government Property, is incorporated, as follows:
a) General: The contractor shall maintain adequate property control procedures,
records, and a system of identification of all Government property accountable to this
contract in accordance with FAR Part 45 and the applicable Government Property
clause incorporated by reference in Section I. The contractor must include this clause in
all subcontracts that utilize Government property.
(b) Government Property Administrator: The Contracting Officer has delegated
property administration authority to the Agency Property Administrator.
(c) Contractor Property Representative: The contractor shall provide written
notification of the name, address, and telephone number of the contractor's designated
property representative responsible for establishing and maintaining control of
Government property under this contract to the Agency Property Administrator at the
address indicated below within thirty (30) days after receipt of this contract.
Contract Settlement
Washington, DC 20505
Attn. Property Administrator
If the contractor's Property Representative changes, the contractor must notify the
Government Property Administrator of the change within 30 days.
(d) Government Property List The Government shall deliver to the contractor the
property identified in the Section J attachment entitled "Government Property Report" for
- use in the performance of this contract on a no-charge-for-use basis. The contractor
may use Government property in their possession, which is accountable to other Agency
contract(s), if the Contracting Officer(s) of the other contract(s) provides written
authorization of their approval for use on a rent-free, non-interference basis.
Approved for Release: 2017/03/15 C06140494
Approved for Release: 2017/03/15 C06140494
UNCLASSIFIED
Page 3 of 4
Contract No. 2010*0514416*000
Modification No. 15
Raytheon Systems Company
(e) Financial Reporting - General: The Government must account for and report
assets in accordance with 31 U.S.C. 3512 and 31 U.S.C. 3515, Federal Accounting
Standards, and Office of Management and Budget (OMB) instructions. Since
contractors maintain the custodial records for Government assets in their possession,
the Government must periodically obtain data from those records to complete its
financial reports. Changes in Federal Accounting Standards and OMB reporting
requirements may occur from year to year, requiring contractor submission of
supplemental information. The specific Statements of Federal Financial Accounting
Standards (SFFAS) to be used for property records are SFFAS No. 3 "Accounting for
Inventory and Related Property and Materials", SFFAS No. 6, "Accounting for Property,
Plant and Equipment", and "SFFAS No. 11, "Amendments to PP&E: Definitions" issued
by the Federal Accounting Standards Advisory Board.
(f) Financial Reports: To assist the Government with these requirements, the
contractor's property control system shall report the total acquisition cost of Government
property for which the contractor is accountable under this contract, including
Government property as defined in FAR 45.101. The contracting officer will provide the
total acquisition cost for all property furnished to the contractor by the Government in the
Section J attachment entitled "Government Property Report". The contractor shall
submit Quarterly and Annual Government Property-Reports to the Government Property
Administrator in accordance with the detailed instructions set forth in the Section J
attachment entitled "Reporting Requirements for Government Property" to provide
periodic updates to the list of property accountable to this contract and to provide
information on contractor acquired property. The contractor shall also submit a Property
Disposition Report with its Quarterly and Annual Reports to identify deletions from
contract property records associated with this contract. The Quarterly, Annual, and
Disposition Reports shall be considered updates to the Section J attachment entitled
"Government Property Report". In addition, the contractor shall submit a Final
Disposition Report within 30 days after disposition of all property accountable to this
contract. Failure to provide required reports may result in termination of this contract,
suspension of payment by the Government until required reporting is received, or other
action as deemed appropriate by the Contracting Officer.
(g) Documentation Required to Support Contractor Acquired Property Items: The
contractor shall furnish the Government Property Administrator a copy of all
documentation to support the reported acquisition cost and acquisition date for all
contractor acquired property valued at $50,000 and above within thirty (30) days of
delivery by the vendor to the contractor. All contractor acquired property purchases
since the last submitted report must be reported on the next Quarterly Report.
(h) Form 5025 - Annual Government Property Report: After completing the Annual
Government Property Report, the contractor shall submit the completed inventory to the
COTR for validation and verification. The contractor shall receive a signed copy of the
inventory back from the COTR. This will be verified during an audit conducted by the
Government Property Administrator. The contractor shall also submit a signed copy of
the Form 5025 - Annual Government Property Report along with the required Report
attachments to the Government Property Administrator in accordance with the
instructions in the Section J attachment entitled "Reporting Requirements for
Government Property".
Approved for Release: 2017/03/15 C06140494
Approved for Release: 2017/03/15 C06140494
�
UNCLASSIFIED
Page 4 of 4
Contract No. 2010*0514416*000
Modification No. 15
Raytheon Systems Company
2. SECTION J - LIST OF ATTACHMENTS is revised to add the following attachments:
1) Reporting Requirements for Government Property
2) Form 5025� Annual Government Property Report
3) Property Closeout Statement
4) Government Furnished Equipment List
B) ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED AND IN
FULL FORCE AND EFFECT.
T INTC'T A cCIPTPT)
Approved for Release: 2017/03/15 C06140494
Approved for Release: 2017/03/15 C06140494
UNCLASSIFIED
Government Furnished Equipment List (Section J (4))
Dell Latitude Laptop
Dell
$1,279.94
(b)(3)
1
Dell Latitude Laptop
Dell
$1,279.94
1
Dell Latitude Laptop
Dell
$1,279.94
1
Approved for Release: 2017/03/15 C06140494