Attached files
file | filename |
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10-Q - 10-Q - Achaogen, Inc. | akao-10q_20170331.htm |
EX-32.1 - EX-32.1 - Achaogen, Inc. | akao-ex321_797.htm |
EX-31.2 - EX-31.2 - Achaogen, Inc. | akao-ex312_709.htm |
EX-31.1 - EX-31.1 - Achaogen, Inc. | akao-ex311_796.htm |
EX-10.5 - EX-10.5 - Achaogen, Inc. | akao-ex105_830.htm |
EX-10.3 - EX-10.3 - Achaogen, Inc. | akao-ex103_831.htm |
EX-10.2 - EX-10.2 - Achaogen, Inc. | akao-ex102_989.htm |
EX-10.1 - EX-10.1 - Achaogen, Inc. | akao-ex101_799.htm |
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Exhibit 10.4 |
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT |
1. CONTRACT ID CODE |
PAGE OF PAGES |
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1 |
2 |
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2. AMENDMENT/MODIFICATION NO. 0026 |
3. EFFECTIVE DATE See Block 16C |
4. REQUISITION/PURCHASE REQ. NO.
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5. PROJECT NO. (If applicable)
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6. ISSUED BYCODE |
ASPR-BARDA |
7. ADMINISTERED BY (If other than Item 6)CODE |
ASPR-BARDA |
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ASPR-BARDA |
ASPR-BARDA |
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8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) |
(X) |
9A. AMENDMENT OF SOLICITATION NO. |
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ACHAOGEN, INC. 1361331 |
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9B. DATED (SEE ITEM 11) |
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X |
10A. MODIFICATION OF CONTRACT/ORDER NO. HHSO100201000046C |
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CODE1361331 |
FACILITY CODE |
10B. DATED (SEE ITEM 13) 09/01/2010 |
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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 Offers |
☐ is extended |
☐ is not extended |
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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 |
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12. ACCOUNTING AND APPROPRIATION DATA (If required) See Schedule |
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13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. |
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CHECK ONE |
A.THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT |
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B.THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, |
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C.THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: |
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X |
D.OTHER (Specify type of modification and authority)
Bilateral: Mutual Agreement of the Parties and FAR Clause 52.217-7 |
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E. IMPORTANT: |
Contractor |
☐ is not |
☒ is required to sign this document and return 2 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.) Tax ID Number: 68-0533693 DUNS Number: 167293153 A.The purpose of this bi-lateral modification is to update the list of Key Personnel. Under Article G.3., Key Personnel, the current list of contract Key Personnel is hereby deleted and replaced with a list of the following Achaogen employees:
1. Lynn Connolly, VP, Late Development, Principal Investigator 2. Anne Keane, Sr. Dir. Regulatory & Quality, Regulatory Director 3. Neil Andersen, Dir. Process Chemistry, Drug Substance Manufacturing Manager 4. Matthew Metz, Dir. Alliance Management, BARDA Liason
Continued… |
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Except as provided herein, all terms and conditions of the 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) Tobin C. Schilke CFO |
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print) THOMAS P. HASTINGS |
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15B. CONTRACTOR/OFFEROR /s/ Tobin Schilke |
15C. DATE SIGNED 3/30/17 |
16B. UNITED STATES OF AMERICA /s/ Thomas P. Hastings |
16C. DATE SIGNED 3/30/2017 |
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NSN 7540-01-152-8070 |
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STANDARD FORM 30 (REV. 10-83) |
CONTINUATION SHEET |
REFERENCE NO. OF DOCUMENT BEING CONTINUED HHSO100201000046C/0026 |
PAGE OF |
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2 |
2 |
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NAME OF OFFEROR OR CONTRACTOR ACHAOGEN, INC. 1361331 |
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ITEM NO. (A) |
SUPPLIES/SERVICES (B) |
QUANTITY (C) |
UNIT (D) |
UNIT PRICE (E) |
AMOUNT (F) |
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5. Jim Kirchner, Dir. Process Chemistry, Drug Product Manufacturing and Drug Registration Manager
B. This is a bi-lateral, no cost modification. The total amount obligated and all other terms and conditions remain unchanged. Period of performance: 09/19/2010 to 12/31/2017
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NSN 7540-01-152-8067 |
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OPTIONAL FORM 336 (4-86) |