36C24125Q0439 0001.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 NUMBERED 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 amendment, 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) 405-25-2-7061-0064 None Department of Veterans Affairs

VAMC

Togus 1 VA Center Augusta ME 04330 Department of Veterans Affairs

VAMC

Togus 1 VA Center Augusta ME 04330 To all Offerors/Bidders

36C24125Q0439

X X X

The purpose of this amendment is to provide an updated Price Schedule and extend the RFQ close date to 6/11/2025 at

1700 EST

Sterling Mathews

VA-VHA-RPOE-2022-333915

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period One POP Begin: 02-01-2026 POP End: 01-31-2027

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

Wheel Chair Accessible Transport - one way base -

Taxi Base Only, no mileage included

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

Mileage Rate for BLS Transport Services over the base mileage transport rate

Mileage Rate for All other Modes of Transportation

Waiting Time (more than 30- minutes shall be paid in 15-minute increments).

Administrative Fee- Est Base 3500 Transports

POP End: 01-01-2027

Additional 500 Administrative Fee- Transports 3501 - 4000

Additional 500 Administrative Fee-Transports 4001 - 5000

Additional 500 Administrative Fee-Transports all additional transports beyond 5000 in 500 transport increments

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Two POP Begin: 02-01-2027 POP End: 01-31-2028

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

Wheel Chair Accessible Transport - one way base -

Taxi Base Only, no mileage included

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

Mileage Rate for BLS Transport Services over the base mileage transport rate

Mileage Rate for All other Modes of Transportation

POP End: 01-01-2028

Administrative Fee- Est Base 3500 Transports

Additional 500 Administrative Fee- Transports 3501 - 4000

Additional 500 Administrative Fee- Transports 4001 - 5000

Additional 500 Administrative Fee-Transports all additional transports beyond 5000 in 500 transport increments

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Three POP Begin: 02-01-2028 POP End: 01-31-2029

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

Wheel Chair Accessible Transport - one way base -

Taxi Base Only, no mileage included

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

Mileage Rate for BLS Transport Services over the base mileage transport rate

Mileage Rate for All other Modes of Transportation

Administrative Fee- Est Base 3500 Transports

Additional 500 Administrative Fee- Transports 3501 - 4000

Additional 500 Administrative Fee-Transports 4001 - 5000

Additional 500 Administrative Fee-Transports all additional transports beyond 5000 in 500 transport increments

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Four POP Begin: 02-01-2029 POP End: 01-31-2030

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

Wheel Chair Accessible Transport - one way base -

Taxi Base Only, no mileage included

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

Mileage Rate for BLS Transport Services over the base mileage transport rate

Mileage Rate for All other Modes of Transportation

POP End: 01-31-2031

Administrative Fee- Est Base 3500 Transports

Additional 500 Administrative Fee- Transports 3501 - 4000

Additional 500 Administrative Fee- Transports 4001-5000

POP End: 02-01-2030

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Five POP Begin: 02-01-2030

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

Wheel Chair Accessible Transport - one way base -

Taxi Base Only, no mileage included

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

Mileage Rate for BLS Transport Services over the base mileage transport rate

Mileage Rate for All other Modes of Transportation

Administrative Fee- Est Base 3500 Transports

Additional 500 Administrative Fee- Transports 3501 - 4000

Additional 500 Administrative Fee- Transports 4001-5000

Additional 500 Administrative Fee-Transports all additional transports beyond 5000 in 500 transport increments

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