36C24425Q0902 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) None 00244 Department of Veterans Affairs Network Contracting Office 4 Coatesville VAMC 1400 Blackhorse Hill Road Coatesville PA 19320 Cynthia Laemmerhirt cynthia.laemmerhirt@va.gov 00244 Department of Veterans Affairs Network Contracting Office 4

To all Offerors/Bidders

36C24425Q0902

X X X See CONTINUATION Page X he purpose of this amendment is to update:

1. Price Schedule. Please use the attached Price Schedule as the most updated version.

- The Price Schedule Quantity is the Estimated Quantity for 5 Years. This will be 1 set of CLINs for the total of a 5-year ordering period. Please price each CLIN to include all estimated inflation during this 5-year ordering period.

2. Please submit the completed and signed Rules of Behavior and BAA with your submission of the quotation.

3. Past Performance Questionnaire has been updated with the correct due by date and station.

Cynthia Laemmerhirt Contracting Officer

CONTINUATION PAGE

A Single Firm Price (by unit) Indefinite Delivery / Indefinite Quantity (IDIQ) contract type will be awarded. The government will issue unilateral firm priced task orders to authorize and fund performance. The Government will issue up to 12-month unilateral task orders to fund and authorize performance for each ordering period, contingent upon the availability of funding.

NOTE: The Government shall order the below-specified guaranteed minimum under this IDIQ contract during the fiscal year in which the contract is awarded. The maximum amount under this contract is not guaranteed.

IDIQ Contract Minimum: $5,000.00 IDIQ Contract Maximum: $7,750,000.00

NOTE: Offerors shall complete all pricing fillables below and provide a fixed price (CLINs 0001 – 0013) in accordance with the CLINs below and the Performance Work Statement (PWS).

A.1 PRICE SCHEDULE - UPDATED

ITEM INFORMATION

(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) - Inside 20 miles (Base Rate to include first 20 miles and 30 min wait time) Ordering Period: 11-01-2025 - 10-31-2030 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) - Outside 20 miles (Base Rate to include first 20 miles and 30 min wait time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) - All Inclusive Transport to Pittsburgh (Includes Base Rate, Mileage, and 30 min of Wait Time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(A0429) Basic Life Support, Non-Emergency Transport - Inside 20 miles (Base Rate to include first 20 miles and 30 min wait time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(A0429) Basic Life Support, Non-Emergency Transport - Outside 20 miles (Base Rate to include first 20 miles and 30 min wait time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(A0429) Basic Life Support, Non-Emergency Transport - All Inclusive Transport to Pittsburgh (Includes Base Rate, Mileage, and 30 min of Wait Time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(A0435) ALS & BLS Waiting Time (After initial 30 minutes paid in 15-minute increments).

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(A0380) ALS / BLS Mileage Trip Outside the Base Rate (starting at mile 21)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(T2003) Wheelchair Van Transportation - Inside 20 miles (Base Rate to include first 20 miles and 30 min wait time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(T2003) Wheelchair Van Transportation - Outside 20 miles (Base Rate to include first 20 miles and 30 min wait time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(T2003) Wheelchair Van Transportation - All Inclusive Transport to Pittsburgh (Includes Base Rate, Mileage, and 30 min of Wait Time)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(S0209) Wheelchair Van Mileage - Outside the Base Rate (starting at mile 21)

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

(T2007) Wheelchair Van Wait Time (After initial 30 minutes paid in 15-minute increments).

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

See attached document: D.7 Past Performance Questionnaire - Updated.

End of Document