36C24619Q0277-0001000.docx
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- Solicitation number
- 36C24619Q0277
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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 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) 02-04-2019 558-19-1-250-0007 N/A 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
36C24619Q0277 02-04-2019
X X X
558-3690160-250-820100-2632 0100201B7 The purpose of this Amendment is to:
a) Updated Schedule of Services to include estimated number of items per year for each CLIN.
b) No other changes to made to Solicitation at this time.
CHINEDU NWAUWA
CONTRACTING OFFICER
B.4 SCHEDULE OF SERVICES
This is an indefinite delivery, indefinite quantity, (IDIQ) fixed-price contract. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, processing fee, delivery fee, handling fee, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the Government.
The guaranteed minimum amount for this contract is $1,000.00. The maximum aggregate value of the orders that can be placed under this contract is $700,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum amount.
The previous option year pricing will apply to any extension pursuant to FAR 52.217-8.
Rejects/do-overs will not be invoiced.
PERIOD OF PERFORMANCE: ONE YEAR FROM DATE OF AWARD
| CLIN |
| DESCRIPTION OF SERVICES |
| ESTIMATED UNIT |
| UNIT PRICE |
| AMOUNT |
| 84 |
| __________________ |
| __________________ |
Mobile Cardiac Outpatient Telemetry Device Contract Period: Base POP Begin:
POP End:
| 0002 |
| Holter Monitoring 24-48 hrs. 244 __________________ |
| __________________ |
| 0003 |
| Extended Holter (up to 14 days) 120 __________________ |
| __________________ |
Base Year $________________
| CLIN |
| DESCRIPTION OF SERVICES |
| ESTIMATED UNIT |
| UNIT PRICE |
| AMOUNT |
| 84 |
| __________________ |
| __________________ |
Mobile Cardiac Outpatient Telemetry Device Contract Period: Option Year 1
| 1002 |
| Holter Monitoring 24-48 hrs. 244 __________________ |
| __________________ |
| 1003 |
| Extended Holter (up to 14 days) 120 __________________ |
| __________________ |
Option Year 1 $__________________
| CLIN |
| DESCRIPTION OF SERVICES |
| ESTIMATED UNIT |
| UNIT PRICE |
| AMOUNT |
| 84 |
| __________________ |
| __________________ |
Mobile Cardiac Outpatient Telemetry Device Contract Period: Option Year 2
| 2002 |
| Holter Monitoring 24-48 hrs. 244 __________________ |
| __________________ |
| 2003 |
| Extended Holter (up to 14 days) 120 __________________ |
| __________________ |
Option Year 2 $ __________________
| CLIN |
| DESCRIPTION OF SERVICES |
| ESTIMATED UNIT |
| UNIT PRICE |
| AMOUNT |
| 84 |
| __________________ |
| __________________ |
Mobile Cardiac Outpatient Telemetry Device Contract Period: Option Year 3
| 3002 |
| Holter Monitoring 24-48 hrs. 244 _________________ |
| __________________ |
| 3003 |
| Extended Holter (up to 14 days) 120 _________________ |
| __________________ |
Option Year 3 $ ____________________
| CLIN |
| DESCRIPTION OF SERVICES |
| ESTIMATED UNIT |
| UNIT PRICE |
| AMOUNT |
| 84 |
| __________________ |
| __________________ |
Mobile Cardiac Outpatient Telemetry Device Contract Period: Option Year 4
| 4002 |
| Holter Monitoring 24-48 hrs. 244 __________________ |
| _________________ |
| 4003 |
| Extended Holter (up to 14 days) 120 __________________ |
| _________________ |
4001AA
| 6.00 |
| MO |
| __________________ |
| __________________ |
Loop Monitor and Telemetry Services NTE 6 Months Contract Period: Option 4 POP Begin:
FAR 52.217-8 Extension of Services
Option Year 4 - Not to Include 4001AA - $ __________________
| GRAND TOTAL |
| __________________ |
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