RFQ 2008-Q-10538 Amendment 0001 SF 30.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 3

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

6/17/2008

4. REQUISITION/PURCHASE REQ. NO.

000HJAAE-2008-57405

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE Centers for Disease Control and Prevention

(PGO)

Procurement and Grants Office 2920 Brandywine Rd, RM 3000 Atlanta GA 303415539

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

All Offerors x

9A. AMENDMENT OF SOLICITATION NO.

RFQ 2008-Q-10538

9B. DATED (See Item 11)

June 4, 2008

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (See Item 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, X is not extended.

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 email to the contracting officer which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULTIN 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.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, 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)

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

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

See changes to statement of work: "Travel" paragraph added by this Amendment, provided as Attachment 1.

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.

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

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

BY ___________________________________________

(Signature of Contracting Officer)

16C. DATE SIGNED

NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE 30-105 Prescribed by GSA

FAR (48 CFR) 53.243

ITEM 10A.

6/17/2008 ftg7 Text Box

RFQ 2008-Q-10538

Amendment 0001

Attachment 1

Statement of Work

Project Title: Health Registry of Gulf Coast Temporary Housing Unit Residents

Introduction The Agency for Toxic Substances and Disease Registry (ATSDR) was created by Congress in Superfund legislation passed in 1980 and reauthorized in 1986. ATSDR is part of the Public Health Service and has its headquarters in Atlanta, Georgia. The mission of ATSDR is to prevent exposure and adverse human health effects and diminished quality of life associated with exposure to hazardous substances from waste sites, unplanned releases, and other sources of pollution present in the environment.

Background and Need ATSDR will be developing a registry to allow FEMA, ATSDR, and CDC to remain in contact with the residents and former residents of temporary housing units provided by FEMA and provide them updated information about short and long term health effects of their exposure. The registry will facilitate communication of what we know regarding health effects so people can make informed decisions about their health. Additionally, the registry could enable assessment of health impact on residents, provide a mechanism to inform them of programs developed to address their health concerns, and facilitate periodic health monitoring. The registry will provide ATSDR, CDC, and other scientific organizations access to a cohort of individuals with documented prolonged exposure to elevated air concentrations of formaldehyde for more in-depth studies.

Purpose The purpose of the ‘Health Registry of Gulf Coast Temporary Housing Unit Residents’ is to ensure that FEMA, CDC, and ATSDR have the ability to contact persons who resided in temporary housing units provided by FEMA after hurricanes Katrina and Rita and who may have been exposed to unsafe levels of formaldehyde during the time they resided in these units. This database will contain data on eligible registrants such as contact information, demographics, health status, and details of documented exposure. The registry will serve as a comprehensive basis for short- and long-term health surveillance and allow FEMA and ATSDR to provide information about health concerns and efforts to address those concerns to the affected population. It may include information about as many as 100,000 – 400,000 individuals.

Period of Performance from date of award through – December 15, 2008

Scope of Work

Because the nature of this work requires knowledge in multiple areas of public health, environmental health and epidemiology, the project is best suited for a physician researcher (Medical Doctor, MD) with broad experience in the development/management of public health registries as well as experience conducting and managing public health surveillance and environmental health/epidemiologic studies.

The contractor will provide expert analysis and consultative support on a broad range of management issues associated with the FEMA Registry development. The scope of work includes:

Provide scientific consultation as an expert in the field of environmental health, epidemiology and health registry development.

Assist DHS staff in the development of the FEMA Registry protocol.

Assist DHS staff in the development of communication tools and marketing strategies that will be used in tracing efforts.

RFQ 2008-Q-10538

Amendment 0001

Attachment 1

Assist DHS staff to develop evaluation tools and methods that will be used to measure the success of the FEMA Registry.

Development of a manuscript.

Travel: approximately once per month as described in the table below:

Location Purpose Duration Frequency Washington, DC Meet with FEMA officials Overnight 2 New Orleans, LA Meet with State & City officials Overnight 2 Mississippi Meet with State & City officials Overnight 1 Undetermined US location Meet with State & City officials Overnight 1

Total trips: 6

Deliverables

1. Create a scoping document that categorizes the data sets that are available and related to Gulf Coast temporary housing unit residents and their usefulness by assessing the relevance and accuracy of the data.

(Approximate period of performance - Nov-Dec)

2. Provide assistance in the development, review and implementation of the registry. (Approximate period of performance - Jun-Dec)

3. Develop a manuscript within 120 days after the awarding of this contract which provides guidance and criteria for establishing successful and effective registries to address important public health issues.

(Approximate period of performance - Jun-Nov)