36C24124Q0772 0003.docx

5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ 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

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, 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 ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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 amendmen t, and is received prior to the opening hour and date specified.

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

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

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) None Department of Veterans Affairs Network Contracting Office 1 (NE) Contracting Office (90C) 940 Belmont Street Brockton MA 02301-5596 Jeffrey S. Fleming Jeffrey.Fleming@va.gov Department of Veterans Affairs Network Contracting Office 1 (NE) Contracting Office (90C) 718 Smyth Road, BST Suite 105 Manchester NH 03104-7007 To all Offerors/Bidders

36C24124Q0772 08-20-2024

X

See CONTINUATION Page The above referenced solicitation in block 9a for Community based social support system through gaming (online and in-person for VA Boston Healthcare System is hereby modified as follows:

1. Line item 0002 and 0003 had an incorrect calculation.

2. They have been adjusted to a Quantity of 5 Each.

3. There are no other changes at this ti me

4. Questions need to be sent via Email to James.Moore14@va.gov.

All interested companies shall provide quotations per the Performance Work Statement.

The approximate start date is 9/01/2024.

Jeffrey S. Fleming Contracting Officer

VA-VHA-RPOE-202-168922

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Contractor Project Management Plan: The Contractor shall deliver a Contractor Project Management Plan (CPMP) that lays out the Contractor’s approach, timeline, and tools to be used in execution of this contract.

Contract Period: Base POP Begin: 09-01-2024 POP End: 08-31-2025

Build Process and Protocol Development. In-person gaming Event per PWS.

Build Process and Protocol Development. Online Gaming Event per PWS.

Identify, initiate, obtain and manage space for online gaming events.

Identify, initiate, obtain and manage space for in-person gaming events.

Weekly Report updates on event progress to include observable and qualitative feedback on risk factors, protective factors for suicide.

Monthly Report Project analysis and assessment of positive progress and transparent challenges related to project to include summary of event progress.

Gaming Production and report

Outreach Plan announcement approach monthly

Outreach Plan announcement approach monthly summary report

Design and place one social media post per event

Guidebook and Manuscript Development Advise on Gaming guidebook content, revise outline, and revise manuscript as needed.

Guidebook and Manuscript Development Assist in development clinical intervention techniques for at-risk Veteran Population.

Assist in development clinical intervention techniques for at-risk Veteran Population

Contractor Project Management Plan: The Contractor shall deliver a Contractor Project Management Plan (CPMP) that lays out the Contractor’s approach, timeline, and tools to be used in execution of this contract.

POP Begin: 09-01-2025 POP End: 08-31-2026

Build Process and Protocol Development. In-person gaming Event per PWS.

Build Process and Protocol Development. Online Gaming Event per PWS.

Identify, initiate, obtain and manage space for online gaming events.

Identify, initiate, obtain and manage space for in-person gaming events.

Weekly Report updates on event progress to include observable and qualitative feedback on risk factors, protective factors for suicide.

Monthly Report Project analysis and assessment of positive progress and transparent challenges related to project to include summary of event progress.

Gaming Production and report

Outreach Plan announcement approach monthly

Outreach Plan announcement approach monthly summary report

Design and place one social media post per event

Guidebook and Manuscript Development Advise on Gaming guidebook content, revise outline, and revise manuscript as needed.

Guidebook and Manuscript Development Assist in development clinical intervention techniques for at-risk Veteran Population.

Assist in development clinical intervention techniques for at-risk Veteran Population

This is an amendment to Request for Quote for Community Based Social Support System through Gaming Events (online and in-person).