AMEND_SF30_SOW_(006_18R3007).docx

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES 1 / 2

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

05/21/19

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO.

6. ISSUED BY CODE

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

Department of State American Embassy, Ataturk Bul. No. 110 Cankaya, Ankara, Turkey

8. NAME AND ADDRESS OF CONTRACTOR (street,city,county,State) PROSPECTIVE OFFERORS for HEALTH INSURANCE SERVICES

9a. AMENDMENT OF SOLICITATION NO.

19TU15-18-R-3007

9b. DATED 9/14/2018

10a. MODIFICATION OF CONTRACT NO.

10b. DATED

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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 __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 ACKNOWLEDGMENT 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor [ X] is not, [ ] is required to sign this document and return _1__ copies to the issuing office.

THIS SPACE IS LEFT EMPTY ON PURPOSE

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

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The solicitation document and its Statement of Work (SOW) has been amended as follows:

5. Section C.1.1.13 is changed as below;

Section C.1.1.13 Mental Health and Substance Abuse Care: Minimum Reimbursement Rate - 50% Inpatient and outpatient care provided to evaluate, diagnose and treat a mental health condition or substance abuse disorder. This includes behavioral health treatment, counseling, and psychotherapy. Services must be provided by a licensed psychiatrist, psychoanalyst, psychologist, or psychiatric social worker. Inpatient care for alcohol and substance abuse must be carried out at a facility licensed for detoxification and rehabilitation.

Approved Institutions: 50% reimbursement with no limit.

Non-Approved Institutions: Not Covered.

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. No other changes to the solicitation document is enacted.

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

N/A

16A. NAME OF CONTRACTING OFFICER

ERIC WILSON

15B. NAME OF CONTRACTOR/OFFEROR

16B. UNITED STATES OF AMERICA

SF30