36C24220Q0008-0001000.docx

DOCX document 39 KB Posted Oct 10, 2019

Attached to: ALS and BLS Ambulance Transports-561
Solicitation number: 36C24220Q0008
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2

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36C24220Q0008 0001 36C24220Q0008 0001.docx

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File	Type	Posted
36C24220Q0008-0001000.docx	DOCX document	Oct 10, 2019
36C24220Q0008-001.docx	DOCX document	Sep 20, 2019
36C24220Q0008-001.docx	DOCX document	Sep 20, 2019
36C24220Q0008-000.docx	DOCX document	Aug 26, 2019
36C24220Q0008-000.docx	DOCX document	Aug 26, 2019

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5. PROJECT NUMBER (if applicable)

CODE

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 (NCO) 2 2875 Union Road Suite 3500 Cheektowaga NY 14227 Department of Veterans Affairs Network Contracting Office (NCO) 2 2875 Union Road Suite 3500 Cheektowaga NY 14227 To all Offerors/Bidders

36C24220Q0008 09-20-2019

X X X

X One The purpose of this Amendment 0001 is to correct the Period of Performance dates on each the B.3 Price Schedule and B.4 Price Worksheet. Copies of each are included herewith.

*All other terms and conditions remain unchanged.

Michelle A. Harsch Contracting Officer

B.3. PRICE SCHEDULE

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

UNIT

UNIT PRICE

0001

Contract Period: Base

POP Begin: 4-01-2020 POP End: 03-31-2021 Basic Life Support (BLS) - One Way Trip Within City Limits (Flat Rate)

TRIPS

0002

Contract Period: Base

POP Begin: 4-01-2020 POP End: 03-31-2021 Basic Life Support (BLS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)

MILES

0003

Contract Period: Base

POP Begin: 4-01-2020 POP End: 03-31-2021 Basic Life Support (BLS) - Wait Time beyond the 15 minutes grace period, when required and verified.

HOURS

0004

Contract Period: Base

POP Begin: 4-01-2020 POP End: 03-31-2021 Advanced Life Support (ALS) - One Way Trip Within City Limits (Flat Rate)

TRIPS

0005

Contract Period: Base

POP Begin: 4-01-2020 POP End: 03-31-2021 Advanced Life Support (ALS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)

MILES

0006

Contract Period: Base

POP Begin: 4-01-2020 POP End: 03-31-2021 Advanced Life Support (ALS) - Wait Time beyond the 15 minutes grace period, when required and verified.

HOURS

1001

Contract Period: Option Year I

POP Begin: 4-01-2021 POP End: 03-31-2022

TRIPS

1002

Contract Period: Option Year I

POP Begin: 4-01-2021 POP End: 03-31-2022 Basic Life Support (BLS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)

MILES

1003

Contract Period: Option Year I

POP Begin: 4-01-2021 POP End: 03-31-2022

HOURS

1004

Contract Period: Option Year I

POP Begin: 4-01-2021 POP End: 03-31-2022

TRIPS

1005

Contract Period: Option Year I

POP Begin: 4-01-2021 POP End: 03-31-2022 Advanced Life Support (ALS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)

MILES

1006

Contract Period: Option Year I

POP Begin: 4-01-2021 POP End: 03-31-2022 Advanced Life Support (ALS) - Wait Time beyond the 15 minutes grace period, when required and verified.

HOURS

2001

Contract Period: Option Year II

POP Begin: 4-01-2022 POP End: 03-31-2023

TRIPS

2002

Contract Period: Option Year II

POP Begin: 4-01-2022 POP End: 03-31-2023 Basic Life Support (BLS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)

MILES

2003

Contract Period: Option Year II

POP Begin: 4-01-2022 POP End: 03-31-2023

HOURS

2004

Contract Period: Option Year II

POP Begin: 4-01-2022 POP End: 03-31-2023

TRIPS

2005

Contract Period: Option Year II

POP Begin: 4-01-2022 POP End: 03-31-2023 Advanced Life Support (ALS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)

MILES

2006

Contract Period: Option Year II

POP Begin: 4-01-2022 POP End: 03-31-2023 Advanced Life Support (ALS) - Wait Time beyond the 15 minutes grace period, when required and verified.

HOURS

3001