09-250-SOL-00083.pdf

OMB No. 0990-0115

(x)

09-250-SOL-00083

x x 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.

x

DPM

Rockville MD 20857 5600 Fishers Lane, Room 13A-19 Division Of Procurement Management

HRSA/OFM/DPM

DPM

Rockville MD 20857 5600 Fishers Lane, Rm 13A-19 Division Of Procurement Management

HRSA/OFM/DPM

07/06/2009000002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

07/06/2009

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this amendment is to answer questions, to revise TASK 2 and to extend the due date for proposals.

1) Questions and answers:

1. Please identify the four states that will serve as pilot sites for creating networks of providers to focus on agricultural health and safety.

It is not known which states will be selected. In carrying out this contract, it is expected that the contractor shall identify four States that could be given technical assistance to create networks focusing on agricultural health and safety. One of the four states may be from the Midwest and one from the Southwest. The contractor shall not be

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

ALEXANDRA B. GARCIA

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

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.

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

09-250-SOL-00083/000002

responsible for travel costs to provide the technical assistance. This cost will be borne by the requesting state.

2. Please specify when the technical assistance training will be provided throughout the contract period.

Upon identification of the four states, the contractor shall contact the selected states to set up the first technical assistance session.

The cost of the travel for the technical assistance shall be borne by the states. The contractor shall provide 5-10 days of technical assistance to each state. The state shall request technical assistance from the contractor.

3. Please specify "how many communities within each state are to have networks at each phase and upon project completion?"

It is anticipated that upon completion of the project each state will have one network. The number of communities that make up the network will be determined by the individual state in consultation with the contractor. The rate at which the networks develop during the course of the project depends on the individual state.

Some states may be more experience in developing networks than others and may already have existing relationships within the agricultural community. Those states? networks may be developed faster than a state with little experience in creating agricultural networks.

Budgetary Question:

1. Is Recovery Act money being used for this procurement?

No.

2) Revisied Task 2

Task 2: The Contractor shall identify a list of potential States to serve as pilot sites and submit that to the Project Officer for approval.

In carrying out this contract, the contractor shall identify a list of potential States that

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

09-250-SOL-00083/000002

could serve as pilot sites and work with the

Project Officer to identify four States that could be given technical assistance to create networks focusing on agricultural health and safety. Upon identification of the four states, the contractor shall contact the selected states to set up the first technical assistance session.

The cost of the travel for the technical assistance shall be borne by the states. The contractor shall provide 5-10 days of technical assistance to each state.

3) The Due date for proposals is August 7, 2009 at 10 AM EST.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110