36C24518Q0108-00001001.docx

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Transtelephonic Arrhythmia Monitoring Services TIERED EVALUATIONS
Solicitation number
36C24518Q0108
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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 ITE

M 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 r eference 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

BY

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) 00001 03-14-2018

NONE

90C Department of Veterans Affairs

VAMC (581)

VISN 5 Contract Satellite Office 1540 Spring Valley drive Huntington WV 25704 90C Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 306A Martinsburg WV 25405 To all Offerors/Bidders

36C24518Q0108 02-23-2018

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

3/22/18 @ 2:00pm est See CONTINUATION Page X A. Amendment to change set aside requirment from 100% Service-disabled veteran-owned small busines (SDVOSB).

This procurement is set-aside based on an order of priority as established in 38 U.S.C. 8127.

TIERED EVALUATIONS INCLUDING

SMALL BUSINESS CONCERNS: This solicitation is being issued as a tiered evaluation for SDVOSB concerns, or in the alternative, a tiered evaluation for VOSB concerns, or in the alternative, a set-aside for other small business concerns with HUBZone sma ll business concerns and 8(a) participants having priority.

If award cannot be made, the solicitation will be cancelled and the requirement resolicited.

Bradley Davis Contracting Officer

A.1 PRICE/COST SCHEDULE

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0001
Transtelephonic Arrhythmia Unit Monitoring Services.

Contract Period: Base POP Begin: 04-01-2018 POP End: 03-31-2019

110.00
EA
__________________
__________________
0002
ACT Monitors with cell phone to transmit.

Contract Period: Base POP Begin: 04-01-2018 POP End: 03-31-2019

12.00
MO
__________________
__________________
1001
Transtelephonic Arrhythmia Unit Monitoring Services.

Contract Period: Option 1 POP Begin: 04-01-2019 POP End: 03-31-2020

110.00
EA
__________________
__________________
1002
ACT Monitors with cell phone to transmit.

Contract Period: Option 1 POP Begin: 04-01-2019 POP End: 03-31-2020

12.00
MO
__________________
__________________
2001
Transtelephonic Arrhythmia Unit Monitoring Services.

Contract Period: Option 2 POP Begin: 04-01-2020 POP End: 03-31-2021

110.00
EA
__________________
__________________
2002
ACT Monitors with cell phone to transmit.

Contract Period: Option 2 POP Begin: 04-01-2020 POP End: 03-31-2021

12.00
MO
__________________
__________________
3001
Transtelephonic Arrhythmia Unit Monitoring Services.

Contract Period: Option 3 POP Begin: 04-01-2021 POP End: 03-31-2022

110.00
EA
__________________
__________________
3002
ACT Monitors with cell phone to transmit.

Contract Period: Option 3 POP Begin: 04-01-2021 POP End: 03-31-2022

12.00
MO
__________________
__________________
4001
Transtelephonic Arrhythmia Unit Monitoring Services.

Contract Period: Option 4 POP Begin: 04-01-2022 POP End: 03-31-2023

110.00
EA
__________________
__________________
4002
ACT Monitors with cell phone to transmit.

Contract Period: Option 4 POP Begin: 04-01-2022 POP End: 03-31-2023

12.00
MO
__________________
__________________
GRAND TOTAL
__________________

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