36C24220Q0008-0001000.docx
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- ALS and BLS Ambulance Transports-561
- Solicitation number
- 36C24220Q0008
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36C24220Q0008 0001 36C24220Q0008 0001.docx
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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 (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 |
| Contract Period: Option Year III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Basic Life Support (BLS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 3002 |
| Contract Period: Option Year III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Basic Life Support (BLS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)
MILES
| 3003 |
| Contract Period: Option Year III |
POP Begin: 4-01-2023 POP End: 03-31-2024
HOURS
| 3004 |
| Contract Period: Option Year III |
POP Begin: 4-01-2023 POP End: 03-31-2024
TRIPS
| 3005 |
| Contract Period: Option Year III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Advanced Life Support (ALS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)
MILES
| 3006 |
| Contract Period: Option Year III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Advanced Life Support (ALS) - Wait Time beyond the 15 minutes grace period, when required and verified.
HOURS
| 4001 |
| Contract Period: Option Year IV |
POP Begin: 4-01-2024 POP End: 03-31-2025
TRIPS
| 4002 |
| Contract Period: Option Year IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Basic Life Support (BLS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)
MILES
| 4003 |
| Contract Period: Option Year IV |
POP Begin: 4-01-2024 POP End: 03-31-2025
HOURS
| 4004 |
| Contract Period: Option Year IV |
POP Begin: 4-01-2024 POP End: 03-31-2025
TRIPS
| 4005 |
| Contract Period: Option Year IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Advanced Life Support (ALS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)
MILES
| 4006 |
| Contract Period: Option Year IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Advanced Life Support (ALS) - Wait Time beyond the 15 minutes grace period, when required and verified.
HOURS
B.4 PRICE WORKSHEET
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| EST. QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 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) 60,000
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.
| 15 |
| 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)
| 90 |
| 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 I |
POP Begin: 4-01-2021 POP End: 03-31-2022 Basic Life Support (BLS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 1002 |
| Contract Period: Option 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) 60,000
MILES
| 1003 |
| Contract Period: Option I |
POP Begin: 4-01-2021 POP End: 03-31-2022 Basic Life Support (BLS) - Wait Time beyond the 15 minutes grace period, when required and verified.
| 15 |
| HOURS |
| 1004 |
| Contract Period: Option I |
POP Begin: 4-01-2021 POP End: 03-31-2022 Advanced Life Support (ALS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 1005 |
| Contract Period: Option 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 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 II |
POP Begin: 4-01-2022 POP End: 03-31-2023 Basic Life Support (BLS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 2002 |
| Contract Period: Option 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)
| 60,000 |
| MILES |
| 2003 |
| Contract Period: Option II |
POP Begin: 4-01-2022 POP End: 03-31-2023 Basic Life Support (BLS) - Wait Time beyond the 15 minutes grace period, when required and verified.
HOURS
| 2004 |
| Contract Period: Option II |
POP Begin: 4-01-2022 POP End: 03-31-2023 Advanced Life Support (ALS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 2005 |
| Contract Period: Option 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 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 |
| Contract Period: Option III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Basic Life Support (BLS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 3002 |
| Contract Period: Option III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Basic Life Support (BLS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip) 60,000
MILES
| 3003 |
| Contract Period: Option III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Basic Life Support (BLS) - Wait Time beyond the 15 minutes grace period, when required and verified.
HOURS
Contract Period: Option III POP Begin: 4-01-2023 POP End: 03-31-2024
TRIPS
| 3005 |
| Contract Period: Option III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Advanced Life Support (ALS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)
MILES
| 3006 |
| Contract Period: Option III |
POP Begin: 4-01-2023 POP End: 03-31-2024 Advanced Life Support (ALS) - Wait Time beyond the 15 minutes grace period, when required and verified.
HOURS
| 4001 |
| Contract Period: Option IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Basic Life Support (BLS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 4002 |
| Contract Period: Option IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Basic Life Support (BLS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip) 60,000
MILES
| 4003 |
| Contract Period: Option IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Basic Life Support (BLS) - Wait Time beyond the 15 minutes grace period, when required and verified.
HOURS
| 4004 |
| Contract Period: Option IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Advanced Life Support (ALS) - One Way Trip Within City Limits (Flat Rate)
TRIPS
| 4005 |
| Contract Period: Option IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Advanced Life Support (ALS) - Mileage Rate beyond city limits (this rate is in addition to the flat rate awarded per trip)
MILES
| 4006 |
| Contract Period: Option IV |
POP Begin: 4-01-2024 POP End: 03-31-2025 Advanced Life Support (ALS) - Wait Time beyond the 15 minutes grace period, when required and verified.
| 15 |
| HOURS |
Total Base plus four (4) Options $_______________________________
THIS PRICE WORKSHEET IS FOR PRICE EVALUATION PURPOSES ONLY
File details come from the government source that posted it. Updated .