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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
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5
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2. AMENDMENT/MODIFICATION NO.
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3. EFFECTIVE DATE
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4. REQUISITION/PURCHASE REQ. NO.
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5. PROJECT NO. (If applicable)
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P00008
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See Block 16C
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OS289937
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6. ISSUED BY
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CODE
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ASPR-BARDA
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7. ADMINISTERED BY (If other than Item 6)
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CODE
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ASPR-BARDA01
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ASPR-BARDA
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ASPR-BARDA
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200 Independence Ave., S.W.
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330 Independence Ave, SW, Rm G644
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Room 640-G
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Washington DC 20201
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Washington DC 20201
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8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
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(x)
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9A. AMENDMENT OF SOLICITATION NO.
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MEDIWOUND LTD 1477616
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MEDIWOUND LTD
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42 HAYARKON
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9B. DATED (SEE ITEM 11)
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42 HAYARKON
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YAVNE 00812
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x
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10A. MODIFICATION OF CONTRACT/ORDER NO.
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HHSO100201500035C
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10B. DATED (SEE ITEM 13)
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CODE 1477616
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FACILITY CODE
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09/29/2015
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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
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☐
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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 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 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.
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12. ACCOUNTING AND APPROPRIATION DATA (If required)
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Net Increase:
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$8,944,500.00
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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
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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, appropriation date, etc.)
SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
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X
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C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
FAR 52.243-2 Alt I - Changes - Cost Reimbursement and FAR 43.103(a) - By Mutual Agreements of the Parties
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D. OTHER (Specify type of modification and authority)
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E. IMPORTANT: Contractor ☐ is not. ☒ is required to sign this document and return 1 copies to the issuing office.
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Tax ID Number:
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C0-0000387
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| DUNS Number: | 532040334 |
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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)
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Sharon Malka, CEO
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KEVIN RESTREPO
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15B. CONTRACTOR/OFFEROR
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15C. DATE SIGNED+
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16B. UNITED STATES OF AMERICA
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16C. DATE SIGNED
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/s/ Sharon Malka
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02/08/2022
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/s/ KEVIN RESTREPO
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(Signature of person authorized to sign)
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(Signature of Contracting Officer)
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02/09/2022
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Previous edition unusable
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STANDARD FORM 30 (REV. 11/2016)
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Prescribed by GSA FAR (48 CFR) 53.243
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CONTINUATION SHEET
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REFERENCE NO. OF DOCUMENT BEING CONTINUED
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PAGE OF
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HHSO100201500035C/P00008
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2
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5
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ITEM NO.
(A)
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SUPPLIES/SERVICES
(B)
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QUANTITY
(C)
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UNIT
(D)
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UNIT PRICE
(E)
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AMOUNT
(F)
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In consideration of the modification agreed to herein as complete equitable adjustments, the Contractor, hereby releases the Government from any and all liability under this contract for further equitable
adjustments attributable to such fact or circumstance giving rise to this modification.
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Period of Performance: 09/29/2015 to 09/27/2024
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Change Item 1 to read as follows(amount shown is the obligated amount):
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ASPR-15-08828 -- CLIN 0001 Advanced development studies for NexoBrid
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8,944,500.00
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Accounting Info:
2015.1990002.26201 Appr. Yr.: 2015 CAN: 1990002 Object Class: 26201
Funded: $0.00
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Accounting Info:
2017.1990007.25106 Appr. Yr.: 2017 CAN: 1990007 Object Class: 25106
Funded: $0.00
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Accounting Info:
2019.1990051.25106 Appr. Yr.: 2019 CAN: 1990051 Object Class: 25106
Funded: $0.00
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Accounting Info:
2022.1990178.25103 Appr. Yr.: 2022 CAN: 1990178 Object Class: 25103
Funded: $8,944,500.00
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NSN 7540-01-152-8067
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OPTIONAL FORM 336 (4-86)
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Sponsored by GSA
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FAR (48 CFR) 53.110
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Contract No. HHSO100201500035C
Modification # 8
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Supplemental Pages Block 14
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Page 3 / 5
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| 1. |
ARTICLE B.2. BASE PERIOD, is modified to add funding to CLIN 0001.
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| 2. |
ARTICLE C.1. STATEMENT OF WORK, is modified to delete reference to the date of the Statement of Work.
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| 3. |
ARTICLE G.1. CONTRACTING OFFICER, is modified to replace Matthew Rose with Jill Johnson.
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ARTICLE G.5. INDIRECT COST RATES, is modified to reflect current mutual understanding of indirect rates.
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| 5. |
SECTION J, Attachment 1, SOW, is replaced in its entirety.
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CLIN
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Period of Performance
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Supplies/ Services
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Total Est.
Cost
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Fixed Fee (7%)
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Total Cost Plus Fixed
Fee
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COST REIMBURSEMENT
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0001
(Base)
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09/28/2015 –
09/27/2024
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Licensure, approval, and clearance
of product through the FDA
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$55,986,743
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$3,919,180
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$59,905,923
(Funded)
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0004A
(Base)- Activate optional Task in July, 2017
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08/01/2017-
07/31/2023
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Pediatric Study
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$23,989,225
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$1,455,400
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$25,444,625
(Funded)
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0006A,B,C
(Base) New Task added in Feb 28,2020
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1/1/2020 -
6/31/2024
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Emergency Readiness Tasks
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$4,271,919
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$299,034
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$4,570,953
(Funded)
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0007A,B
(Base) New Task added in Feb 28,2020
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TBD
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Emergency Deployment Preparation
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$903,350
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$63,235
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$966,585
(Funded)
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FIRM FIXED PRICE
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CLIN
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Period of Performance
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Supplies/ Services
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Units (# of Product)
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Unit Price ($)
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Total ($)
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0002
(Base)
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09/28/2017 –
09/27/2019*(*
see advanced
understanding h.)
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Initial Purchase, storage, and
delivery of product
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10,588
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$1,052
(includes
VMI)
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$11,138,576
(Funded)
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0002
(Base)
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09/28/2019 –
3/31/2022
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Initial Purchase, storage, and
delivery of product
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5412
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$986
(includes
VMI)
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$5,336,232
(Funded)
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Total
CLINS
001&002&0
04A&006&0
07
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09/28/2015 –
09/27/2024
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See Above Descriptions
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107,362,894
(Funded)
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Contract No. HHSO100201500035C
Modification # 8
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Continuation Sheet
Block 14
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Page 4 / 5
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| a. |
The Contracting Officer (CO) is the only individual who can legally commit the Government to the expenditure of public funds. No person other than the CO can make any changes to the terms, conditions, general provisions, specifications
or other requirements of this contract.
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The Contracting Officer (CO) is the only person with authority to act as agent of the Government under this contract. Only the CO has authority to: (1) direct or negotiate any changes in the statement of work; (2) modify or extend the
period of performance; (3) change the delivery schedule; (4) authorize reimbursement to the Contractor for any costs incurred during the performance of this contract; or (5) otherwise change any terms and conditions of this contract.
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No information, other than that which may be contained in an authorized modification to this contract duly issued by the CO, shall be considered grounds for deviation from this contract.
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The Government may unilaterally change its CO designation
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Contract No. HHSO100201500035C
Modification # 8
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Continuation Sheet
Block 14
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Page 5 / 5
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| 1. |
The following interim provisional indirect rates will be utilized for billing purposes during the period of performance:
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| 2. |
The interim provisional indirect rates used in this contract have been established after approval by the AMCG/BARDA Auditor.
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| 1. |
Statement of Work, dated January 26, 2022
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| 2. |
Invoice/Financing Instructions for Cost-Reimbursement Type Contracts
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| 3. |
Invoice Instructions for Fixed-Priced Type Contracts
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| 4. |
Sample Invoice Form
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| 5. |
Research Patient Care Costs
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| 6. |
Report of Government Owned, Contractor Held Property
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| 7. |
Form SF-LLL, Disclosure of Lobbying Activities
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| 8. |
Inclusion Enrollment Report, 5/01 (Modified OAMP: 10/01)
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