Attached files
Confidential treatment has been requested for portions of this exhibit. The copy filed herewith omits the information subject to the confidentiality request. Omissions are designated as [***]. A complete version of this exhibit has been filed separately with the Securities and Exchange Commission.
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
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1. CONTRACT ID CODE
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PAGE OF PAGES
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1 | 3 | ||||||||
2. AMENDMENT/MODIFICATION NO
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3. EFFECTIVE DATE
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4. REQUISITION/PURCHASE REQ. NO. |
5. PROJECT NO. (If applicable)
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P00037
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22-May-2015
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SEE
SCHEDULE
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6. ISSUED BY
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CODE
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W911QY
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7. ADMINISTERED BY (If other than item 6)
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CODE
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W9 11QY
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WQKACC-APG
NATICK
CONTRACTING DIVISION BLDG 1KANSAS STREET NATICK MA01760-5011 |
W6QKACC-APG
NATICK
110
THOMAS JOHNSON DR SUITE #240
FREDERICK
MD 21702
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8.
NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code)
TEKMIRA PHARMACEUTICALS CORPORATION
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9A. AMENDMENT OF SOLICITATION NO.
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8900 GLENLYON PKY SUITE 100
BURNABY V5J 5J8
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X |
10A. MOD. OF CONTRACT/ORDER NO.
V\19113M-1O-C-0057 |
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X |
10B. DATED (SEE ITEM 13)
14-Jul-2010
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CODE L8144
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FACILITY CODE
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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
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The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer
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o is extended o is not extended.
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Offer 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. 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 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 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. |
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12. ACCOUNTING AND APPROPRIATION DATA (If required)
See Schedule
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13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
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X |
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 10A.
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B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriate date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY
OF FAR 43.103.B.
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C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
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D. OTHER (Specify type of modification and authority)
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E.
IMPORTANT: Contractor x is
not, o
is required to sign this document and return ___ copies to the issuing
office.
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14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
Modification Control Number: soconnel151958
See attached summary of changes for this change order. Except as provided herein, all terms and conditions ofthe document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
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15A. NAME AND TITLE OF SIGNER (Type or print)
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16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
SANDRA OCONNELL/ CONTRACT SPECIALIST /GRANTS 0 |
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TEL: 301 619.21!15 |
EMAIL: sandra.ocomell@usarmy.mil
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15B. CONTRACTOR/OFFEROR
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15C. DATE SIGNED
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16B. UNITED STATES OF AMERICA |
16C. DATE SIGNED
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26-May-2015 |
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BY | |||||||||
(Signature of person authorized to sign)
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(Signature of Contracting Officer)
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EXCEPTION TO SF 30
APPROVED BY OIRM 11-84
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30-105-04
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STANDARD FORM 30 (Rev. 10-83)
Prescribed by GSA
FAR (48 CFR) 53.243
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W9113M-10-C-0057
P00037
Page 2 of 3
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 30 - BLOCK 14 CONTINUATION PAGE
The following have been added by full text:
P00037
A. The purpose of this change order is to direct the Contractor to execute and accomplish the remaining activities related to resolution of the partial clinical hold imposed by the FDA under CLIN 0001. Prior to receipt and negotiation of a proposed equitable adjustment resulting from this change order, Tekmira shall not be allowed to incur costs exceeding $[***].
B. All other terms and conditions of this contract remain the same and in full force and effect.
SECTION B - SUPPLIES OR SERVICES AND PRICES
SUBCLIN 000108 is added as follows:
ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT | |
000108 | $0.00 | |||||
Funding for CLIN 0001 FFP FOB: Destination |
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NET AMT |
$0.00 | |||||
ACRN AK CIN: 000000000000000000000000000000 |
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$1,000,000.00 | ||||
SECTION E - INSPECTION AND ACCEPTANCE
The following Acceptance/Inspection Schedule was added for SUBCLIN 000108:
INSPECT AT | INSPECT BY | ACCEPT AT | ACCEPT BY | ||||
N/A | N/A | N/A | Government |
SECTION G - CONTRACT ADMINISTRATION DATA
Accounting and Appropriation
W9113M-10-C-0057
P00037
Page 3 of 3
Summary for the Payment Office
As a result of this modification, the total funded amount for this document was increased by $1,690,592.00 from $68,241,395.24 to $69,931,987.24.
SUBCLIN 000108:
Funding on SUBCLIN 000108 is initiated as follows:
ACRN: AK | |||
CIN: 000000000000000000000000000000 | |||
Acctng Data: 097201520160400000265Y0550506255 | A.0011315.4.1.3.4 | 6100.9000021001 | |
Increase: $1,000,000.00 | |||
Total: $1,000,000.00 | |||
Cost Code: A5XAH |
SUBCLIN 000201:
AK: 097201520160400000265Y0550506255 A.0011315.4.1.3.4 6100.9000021001 A5XAH (CIN GFEBS001066272300001) was increased by $[***] from $[***] to $[***]
SUBCLIN 000202:
AJ: 097201520160400000265Y0550506255 A.0011315.4.1.3.1 6100.9000021001 A5XAH (CIN GFEBS001061876900003) was decreased by $[***] from $[***] to $[***]
(End of Summary of Changes)