36C24619Q0070-A0001001.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 ADM

INISTRATIVE 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 d ate 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 3

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) A0001 None Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders

36C24619Q0070 01-16-2019

X X X

** HOUR &

DATE for Receipt of Offers is EXTENDED to: 15 February 2019 5:00 PM X Amendment A00001 is executed and provides the following:

The Due Date for Quotes has been extended, Quotes are now due 5:00 PM February 15, 2019

Post answers to received Vendor Questions. See Attached

Complete the fill ins at C.3 52.216-19 Ordering Limitations, remove C5. 52.216-22 and C7. 52.217-9.

Rename D.3 Price/Cost Worksheet and adjust estimates. See Attached.

VENDOR Questions/Answers Estimated Trips: Are the trips estimated in your solicitation based upon real life experience at the Fayetteville VA? In order to develop a business plan and respond to your needs we require trip information based upon actual past data. – This will be an Indefinite Quantity Requirements contract with a set ordering period, number of trips identified are an estimate, exact historical numbers are not currently available for this service.

Response time: Do you require 45 minutes or 1-hour response times for ALS and BLS? - Response times are outlined in Paragraph 6 of the Performance work Statement References: Do you require us to send out questionnaires to our customers to be completed and sent to you that are not with Federal, State or Local agencies? What number of questionnaires? – Questionnaires provide the vendor and avenue to provide evidence of experience as described in the Work Statement. The number submitted as required to reflect the vendor has the relevant experience.

Paragraph C3 is amended as follows

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than 1, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of $100,000;

(2) Any order for a combination of items in excess of $1,000,000; or

(3) A series of orders from the same ordering office within 7 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 3 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)

D.3 PRICE COST WORKSHEET

The Contractor shall supply all necessary personnel, management, administrative support, and equipment required to provide twenty-four (24) hour Non-Emergency ambulance services in accordance with the terms and conditions of the contract. The quantities specified in the schedule are estimates only.

This is a Firm Fixed-Price Requirements Type contract with an ordering period of Thirty (30) months Beginning April 1, 2019 through September 30, 2021

The maximum aggregate value of order that can be placed under this contract is Three Hundred Fifty Thousand (350,000) miles for the life of the contract.

ORDER PERIOD 1:

APRIL 1, 2019- SEPTEMBER 30, 2019

8,500

Mile

Mile

TOTAL ORDER PERIOD 1 PRICE $ ____________________

ORDER PERIOD II:

OCTOBER 1, 2019 - SEPTEMBER 30, 2020

16,000

Mile

TOTAL ORDER PERIOD II PRICE $________________

ORDER PERIOD III

OCTOBER 1, 2020 – SEPTEMBER 30, 2021

16,000

Mile

TOTAL OPTION PERIOD II PRICE $___________________

TOTAL PRICE OF CONTRACT $_______________________

Note 1: Mileage Threshold for Ambulance Services - The mileage thresholds for this contract are twenty (20) miles north, south, East and west of the VA Medical Center (VAMC) Fayetteville, VA. VAMC Fayetteville is the point of origin for all mileage calculations. Charges for travel within these mileage thresholds shall be billed at the base rate. Load weight only mileage for travel beyond the above referenced threshold shall be billed at the base rate plus the mile charge for each mile beyond the above specified thresholds.

Note 2: Reimbursement for Mileage outside Contract Mileage Threshold - As stated above, reimbursement for mileage outside of the mileage threshold (load weight only) shall be billed at the base rate plus the mile charge for each mile beyond the mileage threshold as established in Note 1 above. Mileage shall be calculated using the current Rand McNally Standard Mileage Guide or an agreed upon equivalent.