AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT | 1. Contract ID Code Firm Fixed Price | Page 1 Of 7 | ||||||||||||||||||||||||||||||
2. Amendment/Modification No. P00001 | 3. Effective Date 2021MAR09 | 4. Requisition/Purchase Req No. SEE SCHEDULE | 5. Project No. (If applicable) | |||||||||||||||||||||||||||||
6. Issued By | Code | W15QKN | 7. Administered By (If other than Item 6) | Code | ||||||||||||||||||||||||||||
ARMY CONTRACTING COMMAND - NJ PICATINNY ARSENAL, NJ 07806-5000 EMAIL: | ||||||||||||||||||||||||||||||||
8. Name And Address Of Contractor (No., Street, City, County, State and Zip Code) REGENERON PHARMACEUTICALS, INC. 777 OLD SAW MILL RIVER RD TARRYTOWN, NY 10591-6717 | ☐ | 9A. Amendment Of Solicitation No. | ||||||||||||||||||||||||||||||
9B. Dated (See Item 11) | ||||||||||||||||||||||||||||||||
☒ | 10A. Modification Of Contract/Order No. W15QKN-21-C-0014 | |||||||||||||||||||||||||||||||
10B. Dated (See Item 13) 2021JAN12 | ||||||||||||||||||||||||||||||||
Code 544P9 | Facility Code | |||||||||||||||||||||||||||||||
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS |
12. Accounting And Appropriation Data (If required) NO CHANGE TO OBLIGATION DATA | |||||
13. THIS ITEM ONLY APPLIES TO MODIFICATIONS OF CONTRACTS/ORDERS It Modifies The Contract/Order No. As Described In Item 14. | |||||
☐ | A. This Change Order is Issued Pursuant To: The Changes Set Forth In Item 14 Are Made In The Contract/Order No. In Item 10A. | ||||
☐ | B. The Above Numbered Contract/Order Is Modified To Reflect The Administrative Changes (such as changes in paying office, appropriation data, etc.) Set Forth In Item 14, Pursuant To The Authority of FAR 43.103(b). | ||||
☐ | C. This Supplemental Agreement Is Entered Into Pursuant To Authority Of: | ||||
☒ | D. Other (Specify type of modification and authority) FAR 43.103 (a)(3) | ||||
E. IMPORTANT: Contractor ☐ is not, ☒ is required to sign this document and return __________ copies to the Issuing Office. |
15A. Name And Title Of Signer (Type or print) Robert E. Landry – Executive Vice President - CFO | 16A. Name And Title Of Contracting Officer (Type or print) | ||||||||||
15B. Contractor/Offeror /s/ Robert E. Landry (Signature of person authorized to sign) | 15C. Date Signed 3/8/2021 | 16B. United States Of America By /s/ (Signature of Contracting Officer) | 16C. Date Signed 09-MAR-2021 |
NSN 7540-01-152-8070 PREVIOUS EDITIONS UNUSABLE | 30-105-02 | STANDARD FORM 30 (REV. 10-83) Prescribed by GSA FAR (48 CFR) 53.243 |
CONTINUATION SHEET | Reference No. of Document Being Continued W15QKN-21-C-0014 PIIN/SIIN MOD/AMD P00001 | Page 2 of 7 | ||||||
Name of Offeror or Contractor: REGENERON PHARMACEUTICALS, INC. |
CONTINUATION SHEET | Reference No. of Document Being Continued W15QKN-21-C-0014 PIIN/SIIN MOD/AMD P00001 | Page 3 of 7 | ||||||
Name of Offeror or Contractor: REGENERON PHARMACEUTICALS, INC. |
ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT | ||||||||||||
SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS | |||||||||||||||||
0001 | COVID THERAPEUTIC NSN: 9999-99-999-9999 | ||||||||||||||||
0001AA | COVID-19 THERAPEUTIC (REGN10987 AND REGN10933) | [* * *] | EA | $ 2,100.00000 | $ [* * *] | ||||||||||||
COMMODITY NAME: COVID THERAPEUTIC CLIN CONTRACT TYPE: Firm Fixed Price PRON: CB1RD13635 PRON AMD: 03 ACRN: AA PSC: 6505 | |||||||||||||||||
Packaging and Marking | |||||||||||||||||
Inspection and Acceptance INSPECTION: Destination ACCEPTANCE: Destination | |||||||||||||||||
Deliveries or Performance DOC SUPPL REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD 001 W56XNH10011001 W90ZQ2 J 3 DEL REL CD QUANTITY DEL DATE 001 [* * *] [* * *] | |||||||||||||||||
FOB POINT: Destination | |||||||||||||||||
SHIP TO: (W90ZQ2) XR JOINT PROGRAM EX OFC FOR CHEM, B HQ JPEO 5101 HOADLEY ROAD ABERDEEN PROVING GROUND,MD,21010-54 | |||||||||||||||||
The parties will coordinate ordering through centralized distribution via the established Memorandum of Understanding between Regeneron, ASPR, and AmerisourceBergen. Exact ship-to locations for product will be identified through this coordinated process. | |||||||||||||||||
(End of narrative F001) | |||||||||||||||||
0001AB | COVID-19 THERAPEUTIC (REGN10987 AND REGN10933) | [* * *] | EA | $ 2,100.00000 | $ [* * *] | ||||||||||||
COMMODITY NAME: COVID THERAPEUTIC CLIN CONTRACT TYPE: Firm Fixed Price |
CONTINUATION SHEET | Reference No. of Document Being Continued W15QKN-21-C-0014 PIIN/SIIN MOD/AMD P00001 | Page 4 of 7 | ||||||
Name of Offeror or Contractor: REGENERON PHARMACEUTICALS, INC. |
ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT | ||||||||||||
PRON: CB1RD14381 PRON AMD: 04 ACRN: AB | |||||||||||||||||
PSC: 6505 | |||||||||||||||||
Packaging and Marking | |||||||||||||||||
Inspection and Acceptance | |||||||||||||||||
INSPECTION: Destination ACCEPTANCE: Destination | |||||||||||||||||
Deliveries or Performance | |||||||||||||||||
DOC SUPPL | |||||||||||||||||
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD | |||||||||||||||||
001 W56XNH10011002 W90ZQ2 J 3 | |||||||||||||||||
DEL REL CD QUANTITY DEL DATE | |||||||||||||||||
001 [* * *] [* * *] | |||||||||||||||||
FOB POINT: Destination | |||||||||||||||||
SHIP TO: | |||||||||||||||||
(W90ZQ2) XR JOINT PROGRAM EX OFC FOR CHEM, B | |||||||||||||||||
HQ JPEO | |||||||||||||||||
5101 HOADLEY ROAD | |||||||||||||||||
ABERDEEN PROVING GROUND,MD,21010-54 | |||||||||||||||||
The parties will coordinate ordering through | |||||||||||||||||
centralized distribution via the established | |||||||||||||||||
Memorandum of Understanding between Regeneron, ASPR, | |||||||||||||||||
and AmerisourceBergen. Exact ship-to locations for | |||||||||||||||||
product will be identified through this coordinated | |||||||||||||||||
process. | |||||||||||||||||
(End of narrative F001) | |||||||||||||||||
0001AC | COVID-19 THERAPEUTIC (REGN10987 AND REGN10933) | [* * *] | EA | $ 2,100.00000 | $ [* * *] | ||||||||||||
COMMODITY NAME: COVID THERAPEUTIC | |||||||||||||||||
CLIN CONTRACT TYPE: | |||||||||||||||||
Firm Fixed Price | |||||||||||||||||
PRON: CB1RD41544 PRON AMD: 04 ACRN: AC | |||||||||||||||||
PSC: 6505 | |||||||||||||||||
Packaging and Marking | |||||||||||||||||
Inspection and Acceptance | |||||||||||||||||
INSPECTION: Destination ACCEPTANCE: Destination | |||||||||||||||||
Deliveries or Performance | |||||||||||||||||
DOC SUPPL | |||||||||||||||||
REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD | |||||||||||||||||
001 W56XNH10011003 W90ZQ2 J 3 | |||||||||||||||||
DEL REL CD QUANTITY DEL DATE |
CONTINUATION SHEET | Reference No. of Document Being Continued W15QKN-21-C-0014 PIIN/SIIN MOD/AMD P00001 | Page 5 of 7 | ||||||
Name of Offeror or Contractor: REGENERON PHARMACEUTICALS, INC. |
ITEM NO | SUPPLIES/SERVICES | QUANTITY | UNIT | UNIT PRICE | AMOUNT | ||||||||||||
001 [* * *] [* * *] FOB POINT: Destination SHIP TO: (W90ZQ2) XR JOINT PROGRAM EX OFC FOR CHEM, B HQ JPEO 5101 HOADLEY ROAD ABERDEEN PROVING GROUND,MD,21010-54 The parties will coordinate ordering through centralized distribution via the established Memorandum of Understanding between Regeneron, ASPR, and AmerisourceBergen. Exact ship-to locations for product will be identified through this coordinated process. (End of narrative F001) |
CONTINUATION SHEET | Reference No. of Document Being Continued W15QKN-21-C-0014 PIIN/SIIN MOD/AMD P00001 | Page 6 of 7 | ||||||
Name of Offeror or Contractor: REGENERON PHARMACEUTICALS, INC. |
CONTINUATION SHEET | Reference No. of Document Being Continued W15QKN-21-C-0014 PIIN/SIIN MOD/AMD P00001 | Page 7 of 7 | ||||||
Name of Offeror or Contractor: REGENERON PHARMACEUTICALS, INC. |
Routing Data Table* |
Field Name in WAWF | Data to be entered in WAWF | ||||
Pay Official DoDAAC | HQ0490 | ||||
Issue By DoDAAC | W15QKN | ||||
Admin DoDAAC | W15QKN | ||||
Inspect By DoDAAC | TBD | ||||
Ship To Code | W90ZQ2 | ||||
Ship From Code | TBD | ||||
Mark For Code | TBD | ||||
Service Approver (DoDAAC) | N/A | ||||
Service Acceptor (DoDAAC) | N/A | ||||
Accept at Other DoDAAC | N/A | ||||
LPO DoDAAC | N/A | ||||
DCAA Auditor DoDAAC | N/A | ||||
Other DoDAAC(s) | N/A |