Sol_140A2321Q0247_Amd_0001.pdf

PDF 96 KB Posted May 11, 2021

Attached to: DIAGNOSTIC PSYCHOEDUC SERVICES Federal contract opportunity
Solicitation number: 140A2321Q0247
Issued by: Department of the Interior Bureau of Indian Affairs Bureau of Indian Education

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File	Type	Posted
Sol_140A2321Q0247.pdf	PDF	Apr 14, 2021
Statement of Work.pdf	PDF	Apr 14, 2021

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(x)

140A2321Q0247 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 electronic communication 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

A23

Albuquerque NM 87104 Suite 352A 1011 Indian School Rd.

Indian Education Acquisition Office

05/11/20210001

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

04/12/2021

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 data, 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.)

Header Text: RECOMPETE FOR DIAGNOSTIC PSYCHO-EDUCATIONAL SERVICES FOR TOHAALI COMMUNITY

SCHOOL.

POP: 07/01/2021 - 06/30/2022 (BASE YEAR) WITH 4 OPTION YEARS.

Legacy Doc #: IA

00010 DIAGNOSTIC PSYCHO-EDUC.SERV.

BASE: DATE OF AWARD -JUNE 30, 2022

1 DAY PER MONTH, MAX 8 HOURS

Product/Service Code: R499

Product/Service Description: SUPPORT-

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)

Mary Jane Johnson

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A 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 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

140A2321Q0247/0001

PROFESSIONAL: OTHER

Requisition No: 0040529230

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to 06/30/2022

00011 TRAVEL

Miles round trip x $0.535 x 36 weeks

Base Year: Date of Award to June 30, 2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to 06/30/2022

00012 All Applicable Taxes:

Date of Award to June 30, 2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to 06/30/2022

10001 DIAGNOSTIC PSYCHO-EDUC.SERV.

OP YR 1: July 1, 2022 -JUNE 30, 2023

1 DAY PER MONTH, MAX 8 HOURS

(Option Line Item)

07/01/2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2022 to 06/30/2023

10002 All Applicable Taxes

OP YR 1: July 1, 2022 - June 30,2023

(Option Line Item)

07/01/2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2022 to 06/30/2023

10003 TRAVEL

Continued ...

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