36C24523Q0560 0001.docx
DOCX document 19 KB Posted
- Attached to
- Q525--UROLOGY SERVICES Federal contract opportunity
- Solicitation number
- 36C24523Q0560
About this file
This document is an amendment to a solicitation for urology services. The amendment corrects the pricing schedule to include updated rates for weekday, overtime, on-call weekday nights, on-call weekends and holidays, lodging, per diem, and rental car services. The solicitation is for the Department of Veterans Affairs Veterans Health Administration VISN 5 and requires these urology services from July 9, 2023 through October 8, 2023 with an option to extend services from October 9, 2023 through April 8, 2024. Pricing is provided for each required service category. The principal NAICS code is 621111 for offices of physicians except mental health specialists and the product/service code is Q525 for medical urology services.
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|---|---|---|
| 36C24523Q0560.docx | DOCX document |
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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 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) Department of Veterans Affairs VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg. 101, Room 26 Perry Point
MD
21902 Department of Veterans Affairs VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg. 101, Room 26 Perry Point
MD
21902 To all Offerors/Bidders
36C24523Q0560 04-27-2023
X X
See CONTINUATION Page X THIS AMENDMENT IS TO CORRECT THE PRICING SCHEDULE. PLEASE SEE PAGE 2 FOR CORRECT PRICING SCHEDULE.
JABBAR PRINGLE
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1,040.00 |
| HR |
| __________________ |
| __________________ |
Urology Services Weekday Rate: Monday through Friday; 7:30am to 4:00pm Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q525 - Medical - Urology
| 60.00 |
| HR |
| __________________ |
| __________________ |
Urology Services Overtime Rate: Base pay for hours worked over 40 hours per week Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023
| 1,000.00 |
| HR |
| __________________ |
| __________________ |
Urology Services On-Call Weeknights (Monday - Friday; 4:00pm - 7:30am) Physician to carry pager or cell phone at all times while on-call Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023
| 800.00 |
| HR |
| __________________ |
| __________________ |
Urology Services On-Call Weekends (Saturday 7:30am - Sunday 7:30am) and/or (Sunday 7:30am - Monday 7:30am). Physician to carry pager or cell phone at all times while on-call.
Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023
| 96.00 |
| HR |
| __________________ |
| __________________ |
Urology Services On-Call Holidays (Midnight through 11:59pm); Physician to carry pager or cell phone at all times while on-call.
Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023
| 183.00 |
| DY |
| __________________ |
| __________________ |
Lodging Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023
| 183.00 |
| DY |
| __________________ |
| __________________ |
Urology Services Per Diem Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023
| 183.00 |
| DY |
| __________________ |
| __________________ |
Rental Car Contract Period: Base POP Begin: 07-09-2023 POP End: 10-08-2023 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists)
LOCAL STOCK NUMBER: 51
| 2,080.00 |
| HR |
| __________________ |
| __________________ |
Urology Services Weekday Rate: Monday through Friday; 7:30am to 4:00pm Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024
| 120.00 |
| HR |
| __________________ |
| __________________ |
Urology Services Overtime Rate: Base pay for hours worked over 40 hours per week Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024
| 2,000.00 |
| HR |
| __________________ |
| __________________ |
Urology Services On-Call Weeknights (Monday - Friday; 4:00pm - 7:30am) Physician to carry pager or cell phone at all times while on-call Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024
| 1,600.00 |
| HR |
| __________________ |
| __________________ |
Urology Services On-Call Weekends (Saturday 7:30am - Sunday 7:30am) and/or (Sunday 7:30am - Monday 7:30am). Physician to carry pager or cell phone at all times while on-call.
Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024
| 192.00 |
| HR |
| __________________ |
| __________________ |
Urology Services On-Call Holidays (Midnight through 11:59pm); Physician to carry pager or cell phone at all times while on-call.
Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024
| 366.00 |
| DY |
| __________________ |
| __________________ |
Urology Services Lodging Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024
| 366.00 |
| DY |
| __________________ |
| __________________ |
Urology Services Per Diem Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024
| 366.00 |
| DY |
| __________________ |
| __________________ |
Rental Car Contract Period: Option 1 POP Begin: 10-09-2023 POP End: 04-08-2024 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists)
LOCAL STOCK NUMBER: 51
| GRAND TOTAL |
| __________________ |
UROLOGY SERVICES
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