Amendment_Two.pdf
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- Attached to
- Pediatric Neurologist Physician
- Solicitation number
- 14-247-SOL-00002
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Amendment Two
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| File | Type | Posted |
|---|---|---|
| Amendment_One.pdf | ||
| RFP_PEDIATRIC_NEUROLOGIST_PHYSICIAN.pdf |
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(x)
14-247-SOL-00002
x x
1 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
Phoenix AZ 85016 4212 North 16th Street Phoenix Indian Medical CTR
10/25/2013000002
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
10/25/2013
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.)
Amendment No. Two is hereby issued to add/change the following:
1.Remove Section J from the Document Submission Checklist.
2.Revise Paragraph two on Page 7 as follows:
Contractors who apply for positions with the Indian Health Service may be hired without penalty to the contractor, or the Indian Health Service.
3.Add the following to C.4 on Page 9:
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)
TENNYSON L. WELBOURNE
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 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
14-247-SOL-00002/000002
All Contractors/Contractor Employees working at the PIMC shall adhere to the following:
4.Revise Section C.4, number 12, on Page 10 as follows:
Contractor/Contractor Employees are responsible for notifying their immediate supervisor and
Project Officer if he/she will be late or will be unable to work due to illness or any other reason.
5.Revise Section C.4, Number 14, on Page 10 as follows:
Contractor is responsible for completing time sheets for actual hours worked which shall be verified by the Chief of Pediatrics Department or his/her designee.
6.Add the following statement to Section C.4, Number 20, on Page 11:
Refer to H.9.
7.Add the following statement to Section C.7 on
Page 13:
At the time of issuance of the Task Order the
Contractor shall present the following information for each contractor employee providing services.
8.Tranfer Section C.6, subsection a, number 5, on
Page 13 to Section B.
9.Remove the following statement from Section C.7 on Page 13:
Submit copies of the following documents with RFP.
10.Remove the following statement from Section
C.7, subsection b on Page 13:
(Return Copies with RFP).
11.Add the following to Section C.7, subsection c on Page 14:
The Contractor and the Contractor's employees shall maintain medical malpractice insurance.
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
3 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
14-247-SOL-00002/000002
12.Remove the following statement from Section
F.1 on Page 21:
If applicable, pricing for the first through the fourth year option year renewals will be negotiated at least 60 days prior to exercise of the option.
13.Remove Section F.6 on Page 22.
14.Revise Section F.8 on Page 23 as follows:
The department shall provide the contractor with clinic space including a desk, chair and office supplies. The contractor will be authorized to use all areas of the facility made available to them. The contractor must request clearance in order to access Restricted areas of the facility, authorization must be granted and is to be used only for official business activities relating to job performance. The contractor will be authorized to use administrative and professional support personnel in carrying out their assigned duties and objectives. The contractor will be allowed to utilize copy machines, facsimile machines, libraries and telephone services and should only be utilized for official business activities relating to job performance.
Agent/Supply Technician shall provide the
Contractor with an initial orientation regarding all aspects that pertain to their employment as a non-personal service contract employee, the layout of the facility and information on the role of IHS. The department will orientate the contractor as to their specific duties and responsibilities. The department will provide the contractor with standard and specialized equipment and supplies needed for the performance and delivery of services including the use of a computer. The department is responsible for getting the contractor access and clearances to all pertinent electronic health record (EHR), intranet, internet and computer services that are applicable to the contractor carrying out their duties. The department must provide the contractor with direction and proper workloads, which are appropriate with the normal day-to-day operations of the department.
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
4 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
14-247-SOL-00002/000002
15.Add the following statement to Section G.3 on
Page 24:
The Project Officer does not have authority to modify or change the terms and conditions of the contract.
16.Remove Section G.9 on Page 25.
17.Remove Section J on Page 44.
18.Revise Section 2.Experience on Page 72 as follows:
For Individual Contractors:
Contractor must provide documentation (resumes) that outlines their experience with this type of contract effort. The maximum length of each resume shall not exceed three pages. The information to be provided on the resume shall include at a minimum:
Name of company / Government agency, title of division/department and address;
Duration of Employment or Contract;
Level of Position held;
Description of relevant experience and responsibilities;
Signature and date: each person for whom a resume is submitted by the offeror shall sign and date such resume.
For a Groups, Business Organizations, Government/State/County Entities or Hospitals:
Contractor must provide documentation (company resume) that outlines their companies or groups experience with this type of contract effort.
The maximum length of each company resume shall not exceed three pages. The information to be provided on the resume shall include at a minimum:
Name of company / Government agency, title of division/department and address;
Duration of Contract;
Level of Positions (Pediatric Neurologist
Physician) provided to customer;
Description of relevant experience and responsibilities of contractors employee;
Signature and date: each person for whom a company resume is submitted by the offeror shall
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
14-247-SOL-00002/000002
sign and date such resume.
20. Remove all Points in Section M.2. Submitted
Proposals shall be rated as follows:
1.Excellent
2.Above Average
3.Average
4.Unacceptable
21.All other terms and conditions of the solicitation remain unchanged.
Offeror to sign and submit along with other solicitation requirements. Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by : (a) By completing Items 8-15 and returning One (1) copy of the amendment.
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
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